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Managing Tracheoesophageal Prosthesis (TEP) Challenges

presented by Julie Blair, MA, CCC-SLP, BCS-S

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Disclosure Statement:

Financial: Julie Blair is an employee of the Medical University Hospital Authority, adjunct professor at Medical University of South Carolina College of Health Professions, and she is a consultant for MedBridge.

Nonfinancial: Julie Blair is a mentor for the American Board of Swallowing and Swallowing Disorders and a member of the Dysphagia Research Society.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 72 Minutes, Learning Assessments: 37 Minutes

Tracheoesophageal voice restoration has become the preferred method of communication post laryngectomy. There are an estimated 50,000 laryngectomees living in the US, and the National Cancer Institute estimates an average of more than 12,000 new cases of laryngeal cancer diagnosed in 2023. This course is designed to educate clinicians on factors that influence patient candidacy for a tracheoesophageal puncture, training tracheoesophageal speech, assessing the tracheoesophageal tract, and troubleshooting complications. Clinicians will be introduced to the various features available in voice prostheses and how to determine which features will best meet a patient's needs to maximize function and safety.

Meet Your Instructor

Julie Blair, MA, CCC-SLP, BCS-S

Julie Blair is a senior speech pathologist at the Medical University of South Carolina and a member of the Head and Neck Multidisciplinary Team. She holds an adjunct faculty position at the College of Health Professions, where she teaches an introductory course in head and neck cancer and provides clinical supervision for the speech pathology…

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Chapters & Learning Objectives

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1. Tracheoesophageal Puncture Voice Restoration

This chapter provides an overview of the tracheoesophageal puncture. Timing of the procedure and factors that influence patient candidacy will be discussed.

2. Tracheoesophageal Speech

This chapter will cover the necessary patient training for successful tracheoesophageal (TE) speech. In addition to production of TE speech, care and maintenance of the prosthesis as well as patient troubleshooting of potential challenges is demonstrated.

3. TEP Complications

This chapter will cover the potential complications patients may experience related to having tracheoesophageal puncture. Issues related to prosthesis patency and fit, tissue health, and anatomical challenges will be presented along with strategies to address these issues.

4. TEP Assessment

This chapter will cover the steps to assess the TE tract and voice prosthesis. Education will be provided on available prosthesis features and the factors that influence prosthesis selection. Strategies to address challenging placements will be provided.

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