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DOI: 10.1055/s-0041-1727940
Management of periprosthetic leakage of tracheoesophageal fistula after total laryngectomy
After total laryngectomy there are several possibilities of voice rehabilitation. Despite the ructus voice and the electrolarynx, there is the possibility of creating a tracheoesophageal fistula with the insertion of a voice prosthesis. Using these procedures, patients are able to be vocally rehabilitated shortly after laryngectomy and may already speak when leaving the clinic.
Depending on the chosen method of treatment, complications such as the colonization of the voice prosthesis with bacteria and fungi can occur. Moreover, one of the most severe complications is recurrent periprosthetic leakage. In addition to conservative therapies such as shrinkage or re-insertion of a voice prosthesis, the altering of the voice prosthesis (e.g., an extended flange), an injection (e.g., using autologous fat), or a surgical intervention for fistula closure should be considered.
In this work, possible procedures for therapies of periprosthetic leakage and their respective sequences are presented. Specifically, we will focus on patient-specific problems and intermediate treatment results to discuss subsequent actions and treatments.
Poster-PDF A-1391.pdf
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Conflict of interest
Der Erstautor gibt keinen Interessenskonflikt an.
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Publication History
Article published online:
13 May 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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