Document Detail

Primary tracheoesophageal fistula procedure for voice restoration: the University of Texas Medical Branch experience.
MedLine Citation:
PMID:  3600134     Owner:  NLM     Status:  MEDLINE    
Voice restoration for laryngectomees is challenging, but in recent years the tracheosophageal (TE) fistula procedure using a one-way valved prosthesis has had relatively good success. The purposes of this study were to determine the success rate for the primary TE fistula procedure, analyze failures, and study methods for selection and training of these patients. In a prospective study, 21 consecutive patients had primary TE fistula procedures performed over an 18-month period. Thirteen of 20 who had adequate follow-up developed fluent, intelligible speech using either duckbill or low-pressure one-way valves. Complications included one stomal infection and one paratracheal fistula. This experience has led to development of a protocol for selection and training of patients for this procedure and to the conclusion that the procedure can improve voice restoration success without an increase in morbidity.
C M Stiernberg; B J Bailey; K H Calhoun; D G Perez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  97     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1987 Jul 
Date Detail:
Created Date:  1987-08-07     Completed Date:  1987-08-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  820-4     Citation Subset:  IM    
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MeSH Terms
Esophagus / surgery*
Laryngectomy / rehabilitation*
Larynx, Artificial*
Trachea / surgery*

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