Voice prosthesis leakage

Key points

• A build-up of biofilm can cause different types of leakage – through or around your prosthesis.
• If you’re coughing after drinking you may be experiencing some form of leakage.
• Cleaning your prosthesis regularly can delay leakage.

Introduction

Leakage from your voice prosthesis is normal over time. Most will experience it at some point, usually after 2-4 months. What exactly should you look out for and how can you manage the symptoms? Here are some tips to help.

Voice prostheses are not permanent implants

Every voice prosthesis has to be replaced sooner or later. On average, you can expect to have yours replaced every 2-4 months.

The most common reason for replacing your voice prosthesis is because of leakage, so you shouldn’t be alarmed if it happens to you. Bacteria and yeasts that naturally occur in your mouth, throat or food pipe can cause the voice prosthesis to leak.

How do I know my voice prosthesis is leaking?

Do you notice:

• Coughing whenever you eat or drink?
• More mucus than usual?
• Your mucus has changed colour?
• You’re more prone to chest infections?

If you answered yes to one or more of these, your voice prosthesis could be leaking and it may be time for a new one.

Managing leakage

Try testing it yourself

• Stand in front of a mirror with good light and clean your voice prosthesis.
• Take a sip of a drink that isn’t water, for instance, milk or coffee – so the colour is easier to see.
• Watch where the leakage comes from, or ask someone to look for you if you’re having difficulty.

If it comes through the centre of your voice prosthesis, it is called 'leakage through' which is the most common. The leakage can also come around the sides of your voice prosthesis.

If there is leakage through your voice prosthesis, you should first try to clean the voice prosthesis. Use the Provox Brush followed by the Provox Flush. If you still experience leakage, use the Provox Plug during drinking and meals and get in touch with your clinician to schedule a replacement.

If you experience leakage around your voice prosthesis you should contact your clinician straight away for an appointment.

If you are not sure whether there is leakage, you are better off contacting your clinician.

Remember to take good care of your voice prosthesis

Having a good routine around maintaining the voice prosthesis is important. Brush your voice prosthesis twice per day and after each meal. It is also recommended to use a flush. Flushing water or air through your voice prosthesis after brushing helps to keep the voice prosthesis clean. Make sure you use a brush and flush that matches the make and size of your voice