The “silent” progression of a secondary paranasal malignancy in a laryngectomized patient

2006 ◽  
Vol 58 (3) ◽  
pp. 77-80
Author(s):  
Bert Jan de Bondt ◽  
Robert Stokroos ◽  
Fons Balm ◽  
Jan Casselman
Keyword(s):  
Laryngectomized Patient

Vocal Rehabilitation in the Laryngectomized Patient with a Tracheoesophageal Shunt

1974 ◽  
Vol 83 (4) ◽  
pp. 445-451 ◽  
Author(s):  
Robert M. Komorn
Keyword(s):  
Radiation Therapy ◽  
Radical Neck Dissection ◽  
Postoperative Radiation ◽  
Postoperative Radiation Therapy ◽  
Vocal Rehabilitation ◽  
Alaryngeal Speech ◽  
Intelligence Failure ◽  
Low Incidence ◽  
Laryngectomized Patient ◽  
Tracheoesophageal Shunt

A tracheoesophageal shunt was used for vocal rehabilitation in 29 laryngectomized patients. Twenty-three patients had the shunt constructed at the time of laryngectomy. Radiation therapy or radical neck dissection did not limit the usefulness of the shunt. Twenty of the 29 patients acquired useful speech (69%). T-E shunt speech equals or exceeds other forms of alaryngeal speech when measured against the parameters of rate, duration, and intelligence. Failure to acquire useful speech occurred in nine patients because of either stenosis of the shunt (10%), aspiration (7%), or wound probems (14%). Stenosis of the shunt was primarily a problem in patients who received postoperative radiation therapy without a stent in the shunt. Wound problems were related to either our previous use of a lateral based flap or diabetes mellitus. Since January 1973 there has only been one failure in fourteen shunts constructed. The technique as now used is simple, applicable in a wide variety of clinical situations and associated with a low incidence of complications.

Cervical necrotizing fasciitis with thoracic extension after total laryngectomy

2002 ◽  
Vol 116 (8) ◽  
pp. 639-641 ◽  
Author(s):  
Aad J. Beerens ◽  
Rob J. Strack van Schijndel ◽  
Hans F. Mahieu ◽  
Charles R. Leemans
Keyword(s):  
Computed Tomography ◽  
Necrotizing Fasciitis ◽  
Antibiotic Treatment ◽  
Total Laryngectomy ◽  
Oxygen Therapy ◽  
Left Pleura ◽  
Extensive Debridement ◽  
Laryngectomized Patient ◽  
A Minor ◽  
Radical Surgical Resection

Cervical necrotizing fasciitis (CNF) with thoracic extension is rare. It has never been reported in laryngectomized patients. A case of fatal CNF in a laryngectomized patient equipped with a voice prosthesis is presented. Diagnosis and treatment are discussed. CNF with thoracic extension was diagnosed on clinical picture, computed tomography (CT) and biopsies were taken just above the tracheostoma. Antibiotic treatment was started and extensive debridement of the affected tissues performed. A minor extension to the left pleura was considered irresectable. Irradical debridement and the impossibility of administering hyperbaric oxygen therapy caused death within two day after presentation. CNF is a rare disease and to our knowledge, has never been reported after total laryngectomy. This case emphasizes the need for early antibiotic treatment and radical surgical resection of the affected tissues.

scholarly journals The Blom-Singer tracheostoma valve as a valuable addition in the rehabilitation of the laryngectomized patient

1996 ◽  
Vol 253 (3) ◽  
pp. 126-129 ◽  
Author(s):  
F. J. A. van den Hoogen ◽  
C. Meeuwis ◽  
M. J. Oudes ◽  
P. Janssen ◽  
J. J. Manni
Keyword(s):  
Valuable Addition ◽  
Laryngectomized Patient

The Substitute Voice of the Laryngectomized Patient

1960 ◽  
Vol 52 (1-6) ◽  
pp. 85-93 ◽  
Author(s):  
V. Svane-Knudsen
Keyword(s):  
Laryngectomized Patient
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