| Submucosal purse-string suture as a treatment of leakage around the indwelling voice prosthesis. | |
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MedLine Citation:
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PMID: 17979112 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Leakage around the indwelling voice prosthesis is an annoying complication of tracheoesophageal speech. METHODS: Twenty patients, who experienced peripheral leakage of the tracheoesophageal fistula, were treated with a purse-string suture. Our aim was to get the patients free of leakage without losing their voice prosthesis. The technique was considered successful if this objective was reached and unsuccessful if eventually closure of the fistula was required. RESULTS: Immediately after the procedure, no patients showed residual leakage. At 1 month, 2 patients experienced recurrent leakage. At a mean follow-up of 19.4 months, the method was successful in 16 patients and unsuccessful in 4 patients. CONCLUSIONS: If peripheral leakage is not amenable to simple downsizing of the indwelling voice prosthesis, we feel the purse-string suture is the first-choice treatment because of its safety, efficiency, low cost, and ease of application. |
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Authors:
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Kristien Jacobs; Pierre R Delaere; Vincent L M Vander Poorten |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Head & neck Volume: 30 ISSN: 1043-3074 ISO Abbreviation: Head Neck Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-03-20 Completed Date: 2008-07-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8902541 Medline TA: Head Neck Country: United States |
Other Details:
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Languages: eng Pagination: 485-91 Citation Subset: IM |
Affiliation:
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Department of Otorhinolaryngology, Head and Neck Surgery, Leuvens Kanker Instituut, University Hospitals Sint-Rafaël and Gasthuisberg, Leuven, Belgium. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Follow-Up Studies Humans Laryngeal Mucosa / surgery Laryngectomy Larynx, Artificial / adverse effects* Male Middle Aged Prosthesis Fitting Recurrence Suture Techniques* Tracheoesophageal Fistula / complications, surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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