Management of voice prosthesis leakage with Blom-Singer large esophage and tracheal flange voice prostheses

被引：12

作者：

Choussy, O. ^{[1
]}

Hibon, R. ^{[1
]}

Mardion, N. Bon ^{[1
]}

Dehesdin, D. ^{[1
]}

机构：

[1] CHU Rouen, Serv ORL & Chirurg Cervicofaciale, F-76031 Rouen, France

来源：

EUROPEAN ANNALS OF OTORHINOLARYNGOLOGY-HEAD AND NECK DISEASES | 2013年 / 130卷 / 02期

关键词：

Voice prosthesis; Enlarged tracheo-oesophageal puncture; Total laryngectomy; Leakage; Complications; TRACHEOESOPHAGEAL PUNCTURE; TOTAL LARYNGECTOMY; VOCAL REHABILITATION; FAT INJECTION; TREAT LEAKAGE; RESTORATION; COMPLICATIONS; EXPERIENCE; PROVOX;

D O I：

10.1016/j.anorl.2012.03.008

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Introduction: Voice rehabilitation after total laryngectomy is a major socio-economic challenge. Voice rehabilitation can be achieved by voice prostheses, which provide rapid patient satisfaction. Enlarged tracheo-oesophageal puncture is a frequent complication and can be difficult to manage. Material and method: A prospective study was conducted from November 2010 to October 2011 on 28 Blom-Singer large oesophageal and tracheal flange voice prostheses placed in 18 patients with enlarged tracheo-oesophageal puncture causing leakage around the voice prosthesis. Result: Leakage around the voice prosthesis resolved in all patients with a mean prosthesis lifespan of 95 days. The patients considered voice quality to be similar to that obtained with the initial voice prosthesis. Conclusion: The Blom-Singer large oesophageal and tracheal flange voice prosthesis is a useful solution for the management of periprosthetic leakage ensuring similar voice quality and an identical lifespan to that of other voice prostheses. (C) 2012 Published by Elsevier Masson SAS.

引用

页码：49 / 53

页数：5

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