15
3. Adverse events/Trouble shooting information
Instruct your patient to consult a clinician if any of the following occurs:
•
• there is leakage during drinking and cleaning the prosthesis does not help,
•
•
• there is bleeding or overgrowth of tissue around the device,
•
• the patient has chronic cough, trouble breathing, or blood in the mucus. These can be signs of a serious health condition, for
Prosthesis related
Problem:
device life.
Solution:
the leakage, replace the voice prosthesis.
buttermilk1,2 , a probiotic
Lactobacillus Casei Shirota (Yakult®)2, probiotic bacteria Lactibacillus lactis 53 and Streptococcus
thermophilus
B3,4
casei Shirota45.
Problem: Speaking is sometimes not possible (valve does not open).
Probable cause: The valve lid sticks to the valve seat, preventing the valve from opening. This becomes more likely the
longer the valve has not been in use (e.g. overnight).
Solution:
Problem:
Probable cause:
been damaged during the insertion.
Solution:
Handling related
Problem:
Probable cause:
Solution:
Problem: The prosthesis has been completely inserted into the esophagus (accidental overshooting).
Solution:
Puncture related
Aspiration of the prosthesis or other components –
Solution:
aspiration may cause obstruction or infection including pneumonia, atelectasis, bronchitis, lung abscess, bronchopulmonary
puncture and asthma.