International Journal of Phonosurgery & Laryngology

Register      Login

VOLUME 2 , ISSUE 1 ( January-June, 2012 ) > List of Articles

CASE REPORT

Aspirated Voice Prosthesis: A Unique Complication of Post Total Laryngectomy Voice Rehabilitation

Sudhir M Naik

Citation Information : Naik SM. Aspirated Voice Prosthesis: A Unique Complication of Post Total Laryngectomy Voice Rehabilitation. Int J Phonosurg Laryngol 2012; 2 (1):41-45.

DOI: 10.5005/jp-journals-10023-1034

Published Online: 01-06-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background/objectives

Prosthetic voice rehabilitation after total laryngectomy has proven to be successful in restoring proper speech function in over 90% of patients. The possibility of achieving effective speech using the voice prosthesis is superior to esophageal speech and electrolarynx.

Setting

Department of Head and Neck Oncosurgery, Kidwai Memorial Institute of Oncology, Bengaluru.

Case report

A 75-year-old female who had undergone wide field laryngectomy 14 months back came with history of lost voice prosthesis which was later found aspirated. It was removed by the bronchoscopic forceps under topical anesthesia by visualizing it by a nasal 0° wide angle endoscope. The puncture site was cleaned and allowed to cicatrize and narrow down. The fistula was closed by topical application of silver nitrate.

Conclusion

Tracheoesophageal puncture and prosthesis rehabilitation has emerged as the standard voice rehabilitation of laryngectomized patients. Patient education regarding maintenance of the prosthesis and the care for the tracheostoma is important in reducing the complications.

How to cite this article

Naik SM. Aspirated Voice Prosthesis: A Unique Complication of Post Total Laryngectomy Voice Rehabilitation. Int J Phonosurg Laryngol 2012;2(1):41-45.


PDF Share
  1. An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol 1980; 89:529-33.
  2. A decade of postlaryngectomy vocal rehabilitation in 318 patients: A single institution's experience with consistent application of provox indwelling voice prostheses. Arch Otolaryngol Head Neck Surg 2000 Nov;126(11):1320-28.
  3. Voice following laryngeal cancer surgery: Troubleshooting common problems after tracheoesophageal voice restoration. Otolaryngol Clin North Am 2004 June; 37(3):597-612.
  4. Costs and effects of tracheoesophageal speech compared with esophageal speech in laryngectomy patients. Acta Otorhinolaryngol Belg 1994;48:387-94.
  5. Primary tracheoesophageal puncture Vs esophageal speech. Arch Otolaryngol Head Neck Surg 1992;118:188-90.
  6. The Missing Speaking Valve’. Int J Otorhinolaryngol 2006;4(2).
  7. Complications following tracheoesophageal Puncture: A tertiary hospital experience: Ann Acad Med Singapore 2010;39:565-68.
  8. Voice rehabilitation with Provox2TM voice prosthesis following total laryngectomy for laryngeal and hypopharyngeal carcinoma. Auris Nasus Larynx 2007;34:65-71.
  9. Major complications following tracheoesophageal puncture for voice rehabilitation. Laryngoscope 1987;97:562-67.
  10. Voice-related quality of life in laryngectomees: Assessment using the VHI and V-ROQL symptom scales. Voice 2007;21:728-34.
  11. Voice handicap and health-related quality of life in laryngectomees: Assessments with the use of VHI and EORTC questionnaires. Folia Phoniatr Logop 2009;61:83-92.
  12. An investigation into the quality of life of individuals after laryngectomy. Head Neck 2001;23:16-24.
  13. Voice restoration with voice prosthesis after total laryngectomy. Assessment of survival time of 378 Provox-1, Provox-2 and Blom-Singer voice prosthesis. Laryngorhinootologie 2001 Nov;80(11):677-81.
  14. Primary versus secondary tracheoesophageal puncture for speech rehabilitation in total laryngectomy: Long-term results with indwelling voice prosthesis. Otolaryngol Head Neck Surg 2005;133:89-93.
  15. Outcomes of primary and secondary tracheoesophageal puncture: A 16-year retrospective analysis. Ear Nose Throat J 2006;85:264-67.
  16. Longterm results with tracheoesophageal voice prosthesis: Primary versus secondary TEP. Eur Arch Otorhinolaryngol 2008;265: 73-77.
  17. Long-term follow-up of tracheoesophageal puncture results. Ann Otol Rhinol Laryngol 1996;105:501-03.
  18. Voice rehabilitation after total laryngectomy and postoperative radiation therapy. J Clin Oncol 2002;20:2500-05.
  19. Current indications and complications of tracheoesophageal puncture for voice restoration after laryngectomy. Curr Opin in Otolaryngol Head Neck Surg 2003;11:89-95.
  20. Long-term results of provox voice prosthesis for voice rehabilitation after total laryngectomy: A 7 years experience. International Congress Series 2003;1240:871-77.
  21. Case of the month: A dislodged tracheoesophageal valve: Importance of rapid replacement or stenting. Emerg Med J 2006;23:322-23.
  22. Problems with tracheoesophageal fistula voice restoration in totally laryngectomized patients. A review of 95 cases. Arch Otolaryngol Head Neck Surg 1994;120:840-45.
  23. Tracheoesophageal speech: Predictors of success and social validity ratings. Am J Otolaryngol 1998;19:12-17.
  24. Tracheostomy tube fracture: An unusual etiology of upper respiratory airway obstruction. Laryngoscope 1985;95:980-81.
  25. Extraction of large tracheal foreign bodies through a tracheostoma under bronchoscopic control. Ann Thorac surg 1985;39:251-53.
  26. An unusual way of tracheal stoma cleaning could end up with foreign body aspiration in a laryngectomized patient. Tüberk Toraks 2005; 53(1):61-64.
  27. Adult airway foreign body removal. What's new? Clin Chest Med 2001;22:319-30.
  28. Removal of proximal and peripheral endobronchial foreign bodies with the flexible fibreoptic bronchoscope. Anaesth Intensive Care 1989;17: 205-08.
  29. Aspirated foreign body in a laryngectomized patient: Case report and literature review. Ear Nose Throat J 2001;80:744-46.
  30. Oropharynx decontamination preventing Candida vegetation on voice prostheses. Arch Otolaryngol Head Neck Surg 1986 Oct;112(10):1090-92.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.