People are all different, and because a standard voice prosthesis might not be right for someone, we offer a special order voice prosthesis program that provides special lengths, large flanges, and increased resistance.
Blom-Singer® Special Order Voice Prostheses
Description
Special Lengths
Available in one millimeter incremental lengths for a more precise TE puncture fit.
Increased Resistance 
Designed to be used in patients in whom conventional voice prostheses open intermittently with fluctuations in esophageal pressures resulting in air ingestion and/or leakage.
Large Esophageal Flange
Provides a seal to help manage leakage around a voice prosthesis. Also, enables downsizing from a wider diameter prosthesis to a smaller diameter. Effectiveness depends on an optimal prosthesis length fit that achieves a snug flange-to-flange seal against the wall surface(s).
Large Esophageal & Tracheal Flanges
Provides a double seal in patients with significantly enlarged puncture tracts and tear-drop or irregularly shaped punctures. Effectiveness depends on an optimal prosthesis length fit that achieves a snug flange-to-flange seal against the wall surface(s).