Tracheojejunal voice
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Digital pressure on the jejunal graft at the level of the fifth cervical vertebra |
Constriction of the jejunal graft improving vibration capacities (neoglottis) |
Respiratory exercises (optimization of head and body positioning) |
Improvement of the airflow through jejunal constriction |
Swallow
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Tongue base exercises (tongue-holding maneuver, stretch and push against resistance tasks) |
Strengthening the musculature improving bolus transport into the entrance of the jejunal graft |
Bolus modification like changing bolus volume and/or consistency (increasing bolus volumes, thin-thick liquids, pureed food) |
Facilitation of bolus transport through the jejunal graft |
Digital pressure at the level of the proximal (cervical) part of the jejunal graft |
Minimization of the jejunal convolutions by stretching the graft |
Postural technique consisting of extending the neck |
Facilitation of bolus transport through the jejunal graft |