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Medicina Fluminensis : Medicina Fluminensis, Vol. 54 No. 2, 2018.

Professional paper

https://doi.org/10.21860/medflum2018_198238

New surgical method for closing downward migrated tracheoesophageal puncture

Jelena Vukelić orcid id orcid.org/0000-0001-5828-9087 ; Klinika za otorinolaringologiju i kirurgiju glave i vrata, Klinički bolnički centar Rijeka, Rijeka
Robert Tićac ; Klinika za otorinolaringologiju i kirurgiju glave i vrata, Klinički bolnički centar Rijeka, Rijeka
Žana Sokolić ; Klinika za otorinolaringologiju i kirurgiju glave i vrata, Klinički bolnički centar Rijeka, Rijeka
Mateo Tićac ; Medicinski fakultet Sveučilišta u Rijeci, Rijeka
Milodar Kujundžić ; Klinika za otorinolaringologiju i kirurgiju glave i vrata, Klinički bolnički centar Rijeka, Rijeka

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Abstract

Aim: Tracheoesophageal speech with voice prosthesis is a gold standard in voice rehabilitation of laryngectomized patients. One of the possible complications associated with the use of voice prosthesis is downward migration of tracheoesophageal puncture. The aim of this paper is to present new surgical method for closing downward migrated tracheoesophageal puncture.
Patients and methods: The study included 6 patients with downward migrated tracheoesophageal puncture. In treatment we have used new surgical method for closing downward migrated tracheoesophageal puncture which is based on displaying the tracheoesophageal puncture in full range of 360° and placing a double ligature on tracheoesophageal puncture.
Results: There were no complications associated with surgical treatment (infection, bleeding) or with recurrence of downward migration of speech prosthesis. All patients had a well rehabilitated voice and speech after reinserting the speech prosthesis.
Conslusions: The method that we have used for closing downward migrated tracheoesophageal puncture is simple and effective, and also doesn’t require special instruments and thus we believe it can be used in everyday ENT practice.

Keywords

total laryngectomy; tracheoesophageal puncture; voice prosthesis; voice restoration

Hrčak ID:

198238

URI

https://hrcak.srce.hr/198238

Publication date:

1.6.2018.

Article data in other languages: croatian

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