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1. Welcome

2. NTLS

• The NTLS Homepage

3. Laryngectomy

• Stories, testimonials and clinical videos (videoclips)

• Changes following a laryngectomy

        - Anatomical changes after laryngectomy
        - Functional changes after laryngectomy
        - Swallowing after laryngectomy
        - Smelling after laryngectomy

• General Care Information

        - Stoma Care
        - Using Suction
        - Saline Bullets
        - Bathing/Showering as a Laryngectomy

• Tracheoesophageal Voice Prosthesis (TEP)

        - Cleaning Your Voice Prosthesis
        - Troubleshooting Voice Prosthesis Issues
        - Voicing Tips
        - Hands Free Speech       
        - Controlling Fungal Growth
        - TEPs and HME’s During Radiation Treatment

• HME & Tubes

        - Using an HME Cassette
        - Cleaning Mucous From An HME
        - How To Apply An Adhesive Housing
        - Applying an OptiDerm Adhesive Housing
        - Larytube Use and Cleaning
        - Larybutton Use and Cleaning

• Laryngectomy FAQ

        - General Post-Op
        - Swallowing
        - HME's / Adhesives / Larybuttons
        - TEP's and voicing

• Rescue breathing for laryngectomees

4. Radiation

• Swallowing During Radiation Treatment
• Preventing Trismus During Radiation
• Nutrition During Radiation Treatment
• When Nothing Tastes Right
• TEPs and HMEs During Radiation
• Frequently Asked Questions

5. Swallowing

• Normal Swallowing 
• Dysphagia
  - What is Dysphagia?
  - Common symptoms of Dysphagia
  - Evaluating Dysphagia

• Management of Dysphagia
  - Overview: Diet and Intake Modifications
  - Dysphagia Therapy
  - Medical Management
  - VitalStim instructions
  
• Trismus
• Returning to Eating Again
• Dietary Guidelines:
  

        - SOFT DIET
        - PUREED DIET
        - MOIST DIET
        - Thickening Liquids at Home

• Therapeutic feeding
• Swallowing exercises

6. Tracheostomy

• Indications
• Trach Tube Anatomy 101
• Tracheostomy Tube Varieties
  - Cuffed vs Cuffless Tubes
  - Type of Cuffs
  - Proper cuff inflation
  - Fenestrated vs. Non-Fenestrated Tubes
• Being a “Neck Breather"
  - Physiologic/Functional Changes
• Speaking with a Tracheostomy Tube
  - Understanding How a Voice is Produced
  - Speaking valves and Alternatives
• Swallowing with a Tracheostomy
• Suction
• Tracheostomy Care & Decannulation
• Tracheostomy FAQ
  

7. Feeding Tubes

• Overview
  
• Why Feeding Tubes are Used
• Types of Feeding Tubes
• Feeding Tube Methods
• Gastrostomy Tube Troubleshooting
• G-Tube Removal: Preparation and Post-Removal Instructions
• Frequently Asked Questions

8. Reflux

• What is Reflux?
• Evaluating Reflux
• Reflux Management
• Medications
• Reflux Diet
• Reflux Diet: So What Can I Eat?
• More Extensive Testing/Management
• Reflux FAQ

9. Voice

• Voice Care
• Evaluating Voice Disorders
• Types of Voice Disorders
• Managing Voice Disorders

10. Chronic Cough

• Chronic Cough Management
• Irritable Larynx Diagnosis
  
• Management of ILS
• Vocal Hygiene
• Cough Cessation Protocol  
• FAQs

11. About

• Meet the Staff
• Contact
• Informational Handouts
• Links
• Disclaimer

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