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August 1982

Fitting a Voice Prosthesis

Author Affiliations

USAF Lackland, Tex

Arch Otolaryngol. 1982;108(8):534. doi:10.1001/archotol.1982.00790560072023

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To the Editor.—The most widely used technique for patients who have undergone laryngectomy has been the tracheoesophageal puncture procedure (Ann Otol Rhinol Laryngol 1980;89:529-533). In trying to fit the patient who is undergoing a laryngectomy with a correct size of the voice prosthesis, roentgenographic assessment has provided exact localization and verification of length. By using the commercially available radiopaque Blom-Singer voice prosthesis and metal in the dummy prosthesis, the roentgenographic assessment can be accomplished in less time.

At Wilford Hall USAF Medical Center, Lackland, Tex, chrome cobalt metallic inserts conforming to the inner diameter and length of the dummy prosthesis were designed to improve roentgenographic visualization. These consisted of a metallic body with a small ring to which a cord was attached as a safety measure to prevent accidental loss of the insert (Figs 1 and 2). These inserts resulted

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