1. Welcome

2. NTLS

• The NTLS Homepage

3. Laryngectomy

• Stories, Testimonials and Clinical Videos

• 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 and 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

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11. About

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

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