{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T21:56:26Z","timestamp":1788472586536,"version":"build-2803163510"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T00:00:00Z","timestamp":1581033600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Tracheoesophageal speech is the most common voicing method used by laryngectomees. This method requires the installation of tracheoesophageal prosthesis (TEP), which requires continuous maintenance to achieve optimal speaking abilities and prevent fluid leakage from the esophagus to the trachea. The present manuscript describes the available types of TEPs, the procedures used to maintain them, the causes for their failure due to fluid leakage, and the methods used for their prevention. Knowledge and understanding of these issues can assist the otolaryngologist in caring for laryngectomees who use tracheoesophageal speech.<\/jats:p>","DOI":"10.1055\/s-0039-3402497","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T23:40:29Z","timestamp":1581118829000},"page":"e535-e538","source":"Crossref","is-referenced-by-count":24,"title":["Tracheoesophageal Voice Prosthesis Use and Maintenance in Laryngectomees"],"prefix":"10.1055","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6068-1475","authenticated-orcid":false,"given":"Itzhak","family":"Brook","sequence":"additional","affiliation":[{"name":"Department of Pediatrics\/Medicine, Georgetown University, Washington, District of Columbia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph F","family":"Goodman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, George Washington University School of Medicine, Washington, District of Columbia, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1002\/hed.23183","article-title":"Speech rehabilitation during the first year after total laryngectomy","volume":"35","author":"S Singer","year":"2013","journal-title":"Head Neck"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1288\/00005537-198506000-00017","article-title":"A comparison of speech using artificial larynx and tracheoesophageal puncture with valve in the same speaker","volume":"95","author":"G E Merwin","year":"1985","journal-title":"Laryngoscope"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1044\/jshd.5402.209","article-title":"Comparisons of perceptual and acoustic characteristics of tracheoesophageal and excellent esophageal speech","volume":"54","author":"S E Sedory","year":"1989","journal-title":"J Speech Hear Disord"},{"issue":"04","key":"ref4","first-page":"452","article-title":"Tracheoesophageal puncture outcomes and predictors of success in laryngectomised patients","volume":"29","author":"A S Saurajen","year":"2000","journal-title":"Ann Acad Med Singapore"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1001\/jamaoto.2016.2771","article-title":"Device life of tracheoesophageal voice prosthesis revisited","volume":"143","author":"J S Lewin","year":"2017","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1159\/000477970","article-title":"Comparison between Primary and Secondary Tracheoesophageal Puncture Prosthesis: A Systematic Review","volume":"79","author":"J C Barauna Neto","year":"2017","journal-title":"ORL J Otorhinolaryngol Relat Spec"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1001\/archotol.1986.03780040080017","article-title":"A prospective study of tracheoesophageal speech","volume":"112","author":"E D Blom","year":"1986","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/978-3-319-11038-7_8","article-title":"Voice prostheses, microbial colonization and biofilm formation","volume":"830","author":"M Leonhard","year":"2015","journal-title":"Adv Exp Med Biol"},{"issue":"03","key":"ref9","first-page":"175","article-title":"Prevention of voice prosthesis biofilms: current scenario and future trends in prolonging prosthesis lifetime","volume":"110","author":"S I Sayed","year":"2012","journal-title":"J Indian Med Assoc"},{"key":"ref10","author":"I Brook","year":"2013"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1007\/s00405-014-3393-8","article-title":"The development and treatment of periprosthetic leakage after prosthetic voice restoration: a literature review and personal experience. 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