title: Fabrication of a custom silicone tracheostomal prosthesis.
abstract: Patients with a tracheostomy stoma experience compromised speech due to the associated changes in airflow patterns. Prosthetic obturation of the stoma restores the normal airflow patterns required for proper speech. Standard stent tubes may not adequately obturate the defect and may be uncomfortable to wear. The fabrication of a custom silicone tracheostomal prosthesis, incorporating a speaking valve, provides proper obturation of the defect and improved patient comfort, fit, and function. This article presents the procedures used to make a functional impression of a tracheostomy stoma and to fabricate a custom tracheostomal prosthesis.
authors.affiliation: University of California, Los Angeles, School of Dentistry, Los Angeles, USA.
authors.forename: K T
authors.initials: KT
authors.lastname: Ochiai
authors.forename: R D
authors.initials: RD
authors.lastname: Nishimura
authors.forename: E C
authors.initials: EC
authors.lastname: Sheh
authors.forename: D
authors.initials: D
authors.lastname: Pedroche
mesh_terms: D000328:Adult; D001672:Biocompatible Materials; D004129:Dimethylpolysiloxanes; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012123:Pulmonary Ventilation; D012826:Silicone Elastomers; D013064:Speech Disorders / Q000628:therapy; D013071:Speech, Alaryngeal / Q000295:instrumentation*; D014139:Tracheostomy / Q000295:instrumentation* / Q000534:rehabilitation*
chemical_list: D001672:Biocompatible Materials; D004129:Dimethylpolysiloxanes; C020964:MDX 4-4210; D012826:Silicone Elastomers