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Libri Oncologici : Croatian Journal of Oncology, Vol. 49 No. 2-3, 2021.

Professional paper

https://doi.org/10.20471/LO.2021.49.02-03.08

Usage and long-term complications of voice prosthesis in patients with total laryngectomy – our approach to periprosthetic leakage

Marija Pastorčić-Grgić orcid id orcid.org/0000-0002-3405-3675 ; Department of Head and Neck Surgery, Division of Surgical Oncology, University Hospital for Tumors, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Pavao Perše ; Department of Head and Neck Surgery, Division of Surgical Oncology, University Hospital for Tumors, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Boris Stubljar ; Department of Head and Neck Surgery, Division of Surgical Oncology, University Hospital for Tumors, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Sandra Doko ; Department of Head and Neck Surgery, Division of Surgical Oncology, University Hospital for Tumors, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

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Abstract

Aim: To determine success in use of voice prosthesis, prosthesis lifetime and long-term complications after total laryngectomy with primary tracheoesophageal puncture and to describe our approach to periprosthetic leakage.
Introduction: Voice restoration after total laryngectomy is usually performed by placing a silicone voice prosthesis in an artificially formed tracheoesophageal fistula.
Methods: We performed a retrospective study on 187 laryngectomies with primary tracheoesophageal puncture in the 15-year period, treated in our hospital.
Results: In the group of patients with more than 1 year follow up, 87.8% of patients had successful voice restoration. Average prosthesis lifetime was 8 months. Long-term complications developed in 17.5% of patients. Periprosthetic leakage was the most common. We were able to successfully resolve long-term complications in 19/24 patients and they continued to use their vocal prostheses.
Conclusion: The primary placement of the voice prosthesis is successful and safe way to restore a voice after a total laryngectomy. Complications are commonly treatable in an outpatient clinic or with minor surgery.

Keywords

total laryngectomy; voice prosthesis; periprosthetic leakage

Hrčak ID:

267892

URI

https://hrcak.srce.hr/267892

Publication date:

22.12.2021.

Article data in other languages: croatian

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