Document Detail


Failed voice restoration: closure of the tracheo-oesophageal fistula.
MedLine Citation:
PMID:  18559036     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tracheo-oesophageal fistula and voice prosthesis have revolutionised voice rehabilitation, but are not without their complications. The most significant problem is widening of the tracheo-oesophageal fistula relative to the voice prosthesis and subsequent leaking. Three-layer surgical closure is a means of permanently closing a problematic fistula. Use of an interposition in situ muscle graft as a second layer provides an adequate, well vascularised barrier to prevent fistula reformation. Our technique provides a safe, effective method of closing a problematic tracheo-oesophageal fistula. We report a five case series in which 100% of patients acquired satisfactory closure of their fistulae and resolution of their symptoms.
Authors:
O Judd; M Bridger
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Publication Detail:
Type:  Letter    
Journal Detail:
Title:  Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery     Volume:  33     ISSN:  1749-4486     ISO Abbreviation:  -     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-18     Completed Date:  2008-08-01     Revised Date:  2009-02-27    
Medline Journal Info:
Nlm Unique ID:  101247023     Medline TA:  Clin Otolaryngol     Country:  England    
Other Details:
Languages:  eng     Pagination:  261-4     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Humans
Larynx, Artificial
Postoperative Complications / urine
Speech, Alaryngeal*
Surgical Procedures, Operative / methods
Tracheoesophageal Fistula / surgery*
Treatment Failure
Comments/Corrections
Comment In:
Clin Otolaryngol. 2008 Oct;33(5):503   [PMID:  18983402 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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