scholarly journals Usage and long-term complications of voice prosthesis in patients with total laryngectomy – our approach to periprosthetic leakage

2021 ◽  
Vol 49 (2-3) ◽  
pp. 66-71
Author(s):  
Marija Pastorčić-Grgić ◽  
Pavao Perše ◽  
Boris Stubljar ◽  
Sandra Doko
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Periprosthetic Leakage

Periprosthetic Leakage in Tracheoesophageal Prosthesis: Proposal of a Standardized Therapeutic Algorithm

2021 ◽  
pp. 019459982098334
Author(s):  
Claudio Parrilla ◽  
Ylenia Longobardi ◽  
Jacopo Galli ◽  
Mario Rigante ◽  
Gaetano Paludetti ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Retrospective Cohort ◽  
Voice Prosthesis ◽  
Management Algorithm ◽  
Therapeutic Algorithm ◽  
Periprosthetic Leakage ◽  
Tracheoesophageal Puncture ◽  
The University ◽  
The Voice

Objective Periprosthetic leakage represents the most demanding long-term complication in the voice prosthesis rehabilitation. The aim of this article is to discuss the various causes of periprosthetic leakage and to propose a systematic management algorithm. Study Design Retrospective cohort study. Setting Otolaryngology clinic of the University Polyclinic A. Gemelli–IRCCS Foundation. Methods The study included 115 patients with voice prosthesis who were treated from December 2014 to December 2019. All patients who experienced periprosthetic leakage were treated with the same step-by-step therapeutic approach until it was successful. Incidence, management, and success rate of every attempt are analyzed and discussed. Results Periprosthetic leakage was reported 330 times by 82 patients in 1374 clinic accesses. Radiotherapy, timing of tracheoesophageal puncture, and type of total laryngectomy (primary or salvage) did not influence the incidence of periprosthetic leakage. Salvage total laryngectomy increases the risk of more clinically relevant leakages. Conclusion By using a systematic algorithm with a step-by-step standardized approach, periprosthetic leakage management could become a less treacherous issue.

Long-term Progress and Complications of Voice Rehabilitation using Voice Prosthesis after Total Laryngectomy

2009 ◽  
Vol 60 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Takashi Nasu ◽  
Shuji Koike ◽  
Daisuke Noda ◽  
Yoshihiro Onoe ◽  
Masaru Aoyagi
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Voice Rehabilitation

scholarly journals Speech rehabilitation after total laryngectomy: long-term results with indwelling voice prosthesis Blom-Singer®

2005 ◽  
Vol 71 (4) ◽  
pp. 504-509 ◽  
Author(s):  
Carlos Takahiro Chone ◽  
Ana L. Spina ◽  
Agricio N. Crespo ◽  
Flavio M. Gripp
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Long Term Results ◽  
Speech Rehabilitation

scholarly journals Voice Restoration and Long-term Progress in Voice Rehabilitation Using the Provox2 Voice Prosthesis after Total Laryngectomy

2010 ◽  
Vol 113 (11) ◽  
pp. 838-843
Author(s):  
Tomonori Terada ◽  
Nobuo Saeki ◽  
Nobuhiro Uwa ◽  
Kosuke Sagawa ◽  
Takeshi Mohri ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Voice Rehabilitation ◽  
Voice Restoration

Practical Management of Periprosthetic Leakage in Patients Rehabilitated With a Provox® 2 Voice Prosthesis After Total Laryngectomy

2016 ◽  
Vol 67 (6) ◽  
pp. 301-305 ◽  
Author(s):  
Eviatar Friedlander ◽  
Paloma Pinacho Martínez ◽  
Daniel Poletti Serafini ◽  
Carlos Martín-Oviedo ◽  
Tomás Martínez Guirado ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Practical Management ◽  
Periprosthetic Leakage

Primary versus Secondary Tracheoesophageal Puncture for Speech Rehabilitation in Total Laryngectomy: Long-Term Results with Indwelling Voice Prosthesis

2005 ◽  
Vol 133 (1) ◽  
pp. 89-93 ◽  
Author(s):  
Carlos T. Chone ◽  
Flávio M. Gripp ◽  
Ana L. Spina ◽  
Agricio N. Crespo
Keyword(s):  
Success Rate ◽  
Total Laryngectomy ◽  
Voice Prosthesis ◽  
Long Term Results ◽  
Voice Rehabilitation ◽  
Patient Age ◽  
Patient Âgé ◽  
Tracheoesophageal Puncture

OBJECTIVE: To evaluate the long-term use of indwelling Blom-Singer voice prosthesis (VP) for vocal rehabilitation of patients submitted to total laryngectomy (TL). The influence of the timing (primary or secondary) of tracheoesophageal puncture (TEP), use of radiotherapy (xRT), patient age, and length of follow-up were studied to evaluate the success rate of VP use. STUDY DESIGN AND SETTING: Prospective clinical study in a tertiary referral center. Seventy-one patients were submitted to TL and rehabilitated with indwelling VP. All patients were evaluated for vocal functional issues by an otolaryngologist and a speech pathologist at 1 month, then at every 3 months up to 1 year, and then at every 6 months after 1 year of follow-up. The relative data on time of placement of VP, time of VP use, xRT, age, length of follow-up, and life span of each VP were recorded during the follow-up. RESULTS: Eighty-seven percent of the patients underwent primary and 13%, secondary TEP. The follow-up varied from 12 to 87 months, with an average of 38 months for primary and 51 months for secondary TEP. Fifty-nine percent of the patients were submitted to xRT. The general rate of success was 94%, with 97% for primary and 78% ( P = 0.07) for secondary TEP; after 2 years, the success rate was 96% for primary and 75% for secondary ( P = 0.07) TEP. The use of xRT and patient age had no influence on the success of VP use for primary and secondary TEP, independently of the length of follow-up. CONCLUSIONS: The success rate of voice rehabilitation with VP was 94%. In primary TEP, the success rate was 97%, whereas in secondary TEP it was 78%; 2 years later, it was 96% and 75%, respectively. A tendency for a higher success rate in voice rehabilitation after TL was observed in primary TEP. The use of xRT and age of patient had no influence on the success rate.

scholarly journals Regenerative Strategy for Persistent Periprosthetic Leakage around Tracheoesophageal Puncture: Is It an Effective Long-Term Solution?

Cells ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 1695
Author(s):  
Claudio Parrilla ◽  
Aurora Almadori ◽  
Ylenia Longobardi ◽  
Wanda Lattanzi ◽  
Marzia Salgarello ◽  
...  
Keyword(s):  
Fat Grafting ◽  
Voice Prosthesis ◽  
Periprosthetic Leakage ◽  
Methylene Blue Test ◽  
Tracheoesophageal Puncture ◽  
The One ◽  
Clinical Records ◽  
Second Procedure

Autologous tissue-assisted regenerative procedures have been considered effective to close different types of fistula, including the leakage around tracheoesophageal puncture. The aim of this study was to retrospectively review 10 years of lipotransfer for persistent periprosthetic leakage in laryngectomized patients with voice prosthesis. Clinical records of patients who experienced periprosthetic leakage from December 2009 to December 2019 were reviewed. Patients receiving fat grafting were included. The leakage around the prosthesis was assessed with a methylene blue test. Twenty patients experiencing tracheoesophageal fistula enlargement were treated with fat grafting. At the one-month follow-up, all patients were considered improved with no leakage observed. At six months, a single injection was sufficient to solve 75% of cases (n 15), whereas 25% (n 5) required a second procedure. The overall success rate was 80% (n 16). Results remained stable for a follow-up of 5.54 ± 3.97 years. Fat grafting performed around the voice prosthesis, thanks to its volumetric and regenerative properties, is a valid and lasting option to solve persistent periprosthetic leakage.

Respiratory rehabilitation with heat moisture exchanger after total laryngectomy: long-term evaluation

2019 ◽  
Vol 69 (2) ◽  
Author(s):  
Eugenia Allegra ◽  
Ignazio La Mantia ◽  
Maria R. Bianco ◽  
Nicolò Marino ◽  
Alessio Fallica ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Moisture Exchanger ◽  
Term Evaluation ◽  
Respiratory Rehabilitation

Near total laryngectomy with epiglottic reconstruction: Long-term results in 57 patients

1993 ◽  
Vol 14 (6) ◽  
pp. 419-425 ◽  
Author(s):  
Michel Zanaret ◽  
Antoine Giovanni ◽  
Régis Gras ◽  
Maurice Cannoni
Keyword(s):  
Total Laryngectomy ◽  
Long Term Results
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