Surgical voice rehabilitation performed by means of voice prosthesis post laryngectomy
DOI:
https://doi.org/10.15584/ejcem.2017.4.6Keywords:
laryngeal cancer, voice prosthesis, tracheoesophageal fistulaAbstract
Introduction. In 1972, in Poland, Professor Erwin Mozolewski presented a pioneering thesis concerning the creation of intubated voice fistula in a group of 24 patients. It was undoubtedly the prototype of today’s voice prosthesis.
Materials and method. The study involved 33 men after total laryngectomy due to advanced squamous cell carcinoma, treated in the Otolaryngology Ward of the District Hospital in Skarżysko-Kamienna between the years 2012–2017, who were implanted with a voice prosthesis Provox II and Provox Vega.
Results. During the analyzed period, 127 voice prosthesis were replaced in 33 patients. This paper focuses on complications connected with the implantation of voice prosthesis. The most common reason for replacement of a voice prosthesis was fluid leakage through the voice prosthesis channel – 95 cases. Spontaneous prolapse of the voice prosthesis occurred in 11 patients, and after re-insertion of the prosthesis, the correct fistula voice was obtained. The voice prosthesis was replaced due to difficulty in creating the prosthetic speech in 8 patients. A much more serious complication is the occurrence of leakage around the voice prosthesis. In the examined group, leakage around the prosthesis occurred in 5 patients. An inflammatory plaque was formed around the prosthesis, which was removed in case of significant prosthetic cover or at the request of an alarmed patient – in 4 patients. The prosthesis protruded and rotated in the trachea and hung on a fragment of mucous membrane of the trachea in 1 patient.
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References
Mozelewski E. Chirurgiczna rehabilitacja głosu i mowy po laryngektomii. Otolaryngol Pol. 1972; 26:653-661.
Singer M, Blom E. An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol. 1980; 89:529-533.
Bień S, Okła S. Analiza powikłań związanych z chirurgiczną rehabilitacją głosu i mowy u pacjentów po laryngektomii. Problemy z wszczepieniem i wymianą protez głosowych. Otolaryngol Pol. 2006;60:129-134.
Wierzchowska M, Burduk P. Powikłania wczesne i późne po implantacji protezy głosowej Provox 2 u chorych po laryngektomii całkowitej. Otolaryngol Pol. 2011; 65(3):184-187.
Nyckowska J, Chęciński P, Bruzgielewicz A., Szwedowicz P, Osuch–Wójcikiewicz E. Powikłania po wytworzeniu przetok głosowych u chorych po całkowitym usunięciu krtani w materiale Klinik Otolaryngologii Warszawskiego Uniwersytetu Medycznego. Pol Prz Otolaryngol. 2014;3:71-74.
Smith WK, Pfeiderer AG. The use of KTP Laser in the management of hypertrophictracheal mucosa and granulation tissue around Provox Valle prostheses. J Laryngol Otol. 2003;117:60-62.
Eadie TL, Diyle PC. Auditory perceptual healing and quality of life in tracheoesophageal speakers. Laryngoscope. 2004;114(4):753-759.
Gonzalez Garcia J, Aguirregaviria J. Total voice prosthesis incarceration in the tracheao-oesophageal mucosa. Report of a new complication when using phonatory prostheses. Acxta Otorrinolaringol Esp. 2010;61(3):220-224.
Ramalingam C, Chikara L, Rajagopal M, Mehta A, Sarkar S. Tracheo-esophageal Puncture for Voice Rehablitation in Laryngectomised Patients Blom-singer vs Provox Prosthesis.: Our experience. MJAFI. 2007;63:15-18.
Ratajczak J, Wojdas A, Jurkiewicz D. Wyniki rehabilitacji głosu i mowy po wszczepieniu wentylowanych protez głosowych u chorych po całkowitym usunięciu krtani. Otolaryngol Pol. 2008;6:727-730.
Op de Coul BM, Hilgers FJ, Balm AJ, Tan IB, van deen Hoogen FJ, van Interen H. A decade of postlaryngectomy vocal rehabilitation in 318 patients: a single Institutions experience with consistent application of Provox indwelling voice prostheses. Arch Otolaryngol Head Neck Surg. 2000;126:1320-1328.
Xi S. Effectiveness of voice rehabilitation on vocalization in postlaryngectomy patients: a systematic review. Int J Evid Based Healthc. 2010; 8:256-258.
Balm AJM, van den Brekel MWM, Tan IB, Hilgers FJM. The indwelling voice prosteheiss for speech rehabilitation after total laryngectomy: a safe approach. Otolaryngol Pol. 2011;65:402-409.
Frowen J, Perry A. Reasons for success or failure in surgical voice restoration after total laryngectomy: An Australian study. J Laryngol Otol. 2001;393-399.
Elmiyeh B, Dwivedi RC, Jallali N, et al. Surgical voice restoration after total laryngectomy: An overview. Indian Journal of Cancer. 2010;47(3):239-247.
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