Provox® 1

Clinical application

The Provox 1 prosthesis is a stable low-pressure indwelling prosthesis that was for many years the primary choice for laryngectomies. Insertion is retrograde via a guide wire, which facilitates a safe positioning of the esophageal flange but is quite unpleasant for the patient when the prosthesis is changed. The Provox 1 prosthesis is therefore increasingly being replaced by the Provox 2, the insertion of which is anterograde and which is also suitable for primary use. Two key differences from the Provox 2 are that the enclosure around the valve is almost circular, and there is a 90° safety thread on the tracheal flange.

Type of prosthesis: Low-resistance indwelling prosthesis
Outer diameter of shaft: 7.5 mm
Shaft lengths: 4 mm, 6 mm, 8 mm, 10 mm
Material: silicone
Valve type: flap valve
Method of insertion: retrograde with a guide wire
Indication: primary introduction, standard prosthesis
Biofilm resistance: no
Underpressure stability: no
Non-fatiguing valve mechanism: no
Prevalence: Europe, USA, Asia


1. Long-term results of vocal rehabilitation after total laryngectomy with the low-resistance, indwelling Provoxvoice prosthesis system., Hilgers FJ, Balm AJ.,Clin Otolaryngol Allied Sci. 1993 Dec;18(6):517-23.
2. Aerodynamic characteristics of the Provox low-resistance indwelling voice prosthesis.
Hilgers FJ, Cornelissen MW, Balm AJ., Eur Arch Otorhinolaryngol. 1993;250(7):375-8.
3. A new low-resistance, self-retaining prosthesis (Provox) for voice rehabilitation after total laryngectomy.
Hilgers FJ, Schouwenburg PF., Laryngoscope. 1990 Nov;100(11):1202-7.