scholarly journals Aspiration of tracheoesophageal prosthesis in a laryngectomized patient

2012 ◽  
Vol 7 ◽  
Author(s):  
Sergio C. Conte ◽  
Elena De Nardi ◽  
Federico Conte ◽  
Stefano Nardini
Keyword(s):  
Total Laryngectomy ◽  
Tracheoesophageal Fistula ◽  
Definitive Diagnosis ◽  
Voice Prosthesis ◽  
Voice Rehabilitation ◽  
Case Presentation ◽  
Safe Management ◽  
Tracheal Stoma ◽  
Laryngectomized Patient ◽  
The Voice

Background: The voice prosthesis inserted into a tracheoesophageal fistula has become the most widely used device for voice rehabilitation in patients with total laryngectomy. Case presentation: We describe a case of tracheoesophageal prosthesis’ (TEP) aspiration in a laryngectomized patient, with permanent tracheal stoma, that appeared during standard cleaning procedure, despite a programme of training for the safe management of patients with voice prosthesis. Conclusions: The definitive diagnosis and treatment were performed by flexible bronchoscopy, that may be considered the procedure of choice in these cases, also on the basis of the literature.

Prevention of aspiration following recurrent dislodgement of voice prosthesis: a patient's innovation

2008 ◽  
Vol 123 (6) ◽  
pp. 680-682
Author(s):  
M Masaany ◽  
M B Marina ◽  
A Asma ◽  
A Sani
Keyword(s):  
Total Laryngectomy ◽  
World Literature ◽  
Tracheoesophageal Fistula ◽  
Voice Prosthesis ◽  
Voice Restoration ◽  
The World ◽  
Carcinoma Of The Larynx ◽  
Cheap Method ◽  
Tracheal Stoma ◽  
The Voice

AbstractObjective:To demonstrate a simple, practical, cheap method of preventing potentially fatal aspiration of a dislodged voice prosthesis; this method was developed by a laryngectomised patient.Case report:A patient diagnosed with squamous cell carcinoma of the larynx underwent total laryngectomy. Upon completion of radiotherapy, a tracheoesophageal fistula was created and a voice prosthesis inserted to enable voice restoration. Unfortunately, the patient presented subsequently with repeated episodes of dislodgement and an episode of potentially fatal aspiration of the voice prosthesis, despite various measures taken by the surgeons to overcome the problem. The patient subsequently developed a method enabling him to retrieve the voice prosthesis himself should it become dislodged. He attached a ring to the prosthesis, which was larger in diameter than the tracheal stoma, thus preventing ingestion or recurrence of aspiration.Conclusion:To our knowledge, this is the first report in the world literature of this form of innovation, created by a laryngectomised patient, to overcome the problem of aspiration or ingestion of a dislodged voice prosthesis.

scholarly journals Aspirated Voice Prosthesis: A Unique Complication of Post Total Laryngectomy Voice Rehabilitation

2012 ◽  
Vol 2 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Sudhir M Naik
Keyword(s):  
Case Report ◽  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Voice Rehabilitation ◽  
Wide Field ◽  
Wide Angle ◽  
Puncture Site ◽  
History Of ◽  
Tracheoesophageal Puncture ◽  
The Voice

ABSTRACT Background/objectives Prosthetic voice rehabilitation after total laryngectomy has proven to be successful in restoring proper speech function in over 90% of patients. The possibility of achieving effective speech using the voice prosthesis is superior to esophageal speech and electrolarynx. Setting Department of Head and Neck Oncosurgery, Kidwai Memorial Institute of Oncology, Bengaluru. Case report A 75-year-old female who had undergone wide field laryngectomy 14 months back came with history of lost voice prosthesis which was later found aspirated. It was removed by the bronchoscopic forceps under topical anesthesia by visualizing it by a nasal 0° wide angle endoscope. The puncture site was cleaned and allowed to cicatrize and narrow down. The fistula was closed by topical application of silver nitrate. Conclusion Tracheoesophageal puncture and prosthesis rehabilitation has emerged as the standard voice rehabilitation of laryngectomized patients. Patient education regarding maintenance of the prosthesis and the care for the tracheostoma is important in reducing the complications. How to cite this article Naik SM. Aspirated Voice Prosthesis: A Unique Complication of Post Total Laryngectomy Voice Rehabilitation. Int J Phonosurg Laryngol 2012;2(1):41-45.

Long-term Progress and Complications of Voice Rehabilitation using Voice Prosthesis after Total Laryngectomy

2009 ◽  
Vol 60 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Takashi Nasu ◽  
Shuji Koike ◽  
Daisuke Noda ◽  
Yoshihiro Onoe ◽  
Masaru Aoyagi
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Voice Rehabilitation

Periprosthetic Leakage in Tracheoesophageal Prosthesis: Proposal of a Standardized Therapeutic Algorithm

2021 ◽  
pp. 019459982098334
Author(s):  
Claudio Parrilla ◽  
Ylenia Longobardi ◽  
Jacopo Galli ◽  
Mario Rigante ◽  
Gaetano Paludetti ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Retrospective Cohort ◽  
Voice Prosthesis ◽  
Management Algorithm ◽  
Therapeutic Algorithm ◽  
Periprosthetic Leakage ◽  
Tracheoesophageal Puncture ◽  
The University ◽  
The Voice

Objective Periprosthetic leakage represents the most demanding long-term complication in the voice prosthesis rehabilitation. The aim of this article is to discuss the various causes of periprosthetic leakage and to propose a systematic management algorithm. Study Design Retrospective cohort study. Setting Otolaryngology clinic of the University Polyclinic A. Gemelli–IRCCS Foundation. Methods The study included 115 patients with voice prosthesis who were treated from December 2014 to December 2019. All patients who experienced periprosthetic leakage were treated with the same step-by-step therapeutic approach until it was successful. Incidence, management, and success rate of every attempt are analyzed and discussed. Results Periprosthetic leakage was reported 330 times by 82 patients in 1374 clinic accesses. Radiotherapy, timing of tracheoesophageal puncture, and type of total laryngectomy (primary or salvage) did not influence the incidence of periprosthetic leakage. Salvage total laryngectomy increases the risk of more clinically relevant leakages. Conclusion By using a systematic algorithm with a step-by-step standardized approach, periprosthetic leakage management could become a less treacherous issue.

scholarly journals Voice Rehabilitation after Total Laryngectomy Using the Provox R Voice Prosthesis

2003 ◽  
Vol 106 (11) ◽  
pp. 1093-1100 ◽  
Author(s):  
Hiroyuki Yamada ◽  
Shin-ichiro Nishii ◽  
Shigetoshi Sakabe ◽  
Ryoji Ishida
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Voice Rehabilitation

’The holiday plug‘: a temporary solution to the problem of the leaking voice prosthesis

1993 ◽  
Vol 107 (12) ◽  
pp. 1149-1150
Author(s):  
Simon N. Rogers ◽  
Andrew Batch ◽  
David Powell ◽  
Kaye Radford
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Short Paper ◽  
Patient Visit ◽  
Temporary Solution ◽  
The Voice

AbstractTracheo-oesophageal prostheses are commonly inserted in patients following total laryngectomy to improve the quality of the voice. Unfortunately the device eventually fails and requires replacement. A valve change, although well tolerated by patients, necessitates an out-patient visit and delay in its replacement can lead to problems of pneumonia or dehydration. In this short paper we describe a simple temporary solution for a leaking valve and recommend its use in patients who are delayed in returning to the unit for example when on holiday.

scholarly journals Insertion of Provox®2 voice prosthesis using the anterograde technique immediately after the secondary tracheoesophageal puncture

2005 ◽  
Vol 119 (12) ◽  
pp. 988-990 ◽  
Author(s):  
Raymond W M Ng ◽  
Paul Lam ◽  
Birgitta Y H Wong
Keyword(s):  
General Anaesthesia ◽  
Local Anaesthesia ◽  
Total Laryngectomy ◽  
Second Generation ◽  
Voice Prosthesis ◽  
Neck Stiffness ◽  
Neck Extension ◽  
Second Stage ◽  
Tracheoesophageal Puncture ◽  
The Voice

Insertion of a voice prosthesis through the tracheoesophageal puncture (TEP) is one way to restore the voice after total laryngectomy. The second generation Provox® voice prosthesis is presently one of the most popular devices. Although TEP can be done primarily, there are many centres that prefer it to be done at a second stage for various reasons. However, secondary TEP for retrograde replacement of prosthesis can be difficult and general anaesthesia is very often necessary. Moreover, the presence of neck stiffness and fibrosis from the surgery or previous radiotherapy could affect the neck extension for proper positioning of the trocar. Similarly, it is difficult to insert the prosthesis if there is stenosis at the pharyngoesophageal segment. We describe a technique in which creation of secondary TEP and insertion of Provox®2 is done with local anaesthesia under the same setting. The procedure is well tolerated and can be safely performed on an out-patient basis.

Applications of the Voice Prosthesis during Laryngectomy

1989 ◽  
Vol 98 (12) ◽  
pp. 921-925 ◽  
Author(s):  
Mark I. Singer ◽  
Eric D. Blom ◽  
Ronald C. Hamaker ◽  
Glen Y. Yoshida
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Alaryngeal Speech ◽  
Recent Introduction ◽  
Speech Rehabilitation ◽  
Tracheoesophageal Puncture ◽  
The Voice

With the recent introduction of the voice prosthesis for alaryngeal speech rehabilitation, its application in the early postlaryngectomy period is gaining acceptance. One hundred twenty-eight patients received a tracheoesophageal puncture and adjunctive pharyngeal constrictor relaxation during laryngectomy. The voice prosthesis was applied as early as 10 days after surgery, and the results of a 9-year experience are presented. Eighty percent of the population achieved a durable voice, and the complications were infrequent. The results support the primary use of tracheoesophageal phonation as a relatively safe and reliable alternative to total laryngectomy alone.

Voice rehabilitation with Provox2™ voice prosthesis following total laryngectomy for laryngeal and hypopharyngeal carcinoma

2007 ◽  
Vol 34 (1) ◽  
pp. 65-71 ◽  
Author(s):  
Tomonori Terada ◽  
Nobuo Saeki ◽  
Kunichika Toh ◽  
Nobuhiro Uwa ◽  
Kosuke Sagawa ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Hypopharyngeal Carcinoma ◽  
Voice Rehabilitation
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