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[The custom-fit voice prosthesis, for treatment of periprothetic leakage after tracheoesophageal voice restoration].

Identifieur interne : 000649 ( PubMed/Checkpoint ); précédent : 000648; suivant : 000650

[The custom-fit voice prosthesis, for treatment of periprothetic leakage after tracheoesophageal voice restoration].

Auteurs : P. Kress [Allemagne] ; P. Sch Fer ; F-P Schwerdtfeger

Source :

RBID : pubmed:16586287

English descriptors

Abstract

Leakage around an indwelling voice prosthesis is detected during 13% up to 27% of all replacement procedures of voice prosthesis and causes serious complications in further voice restoration of the laryngectomee. Lots of therapeutic options to stop periprothetic leakage have been described (Injection of Bioplastique, autologous fat or collagen, suture techniques, spacer therapy) without convincing success rates.

DOI: 10.1055/s-2006-925081
PubMed: 16586287


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pubmed:16586287

Le document en format XML

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<title xml:lang="en">[The custom-fit voice prosthesis, for treatment of periprothetic leakage after tracheoesophageal voice restoration].</title>
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<name sortKey="Kress, P" sort="Kress, P" uniqKey="Kress P" first="P" last="Kress">P. Kress</name>
<affiliation wicri:level="1">
<nlm:affiliation>HNO-Klinik, Mutterhaus der Borromäerinnen Trier. Kressp@mutterhaus.de</nlm:affiliation>
<country wicri:rule="url">Allemagne</country>
</affiliation>
</author>
<author>
<name sortKey="Sch Fer, P" sort="Sch Fer, P" uniqKey="Sch Fer P" first="P" last="Sch Fer">P. Sch Fer</name>
</author>
<author>
<name sortKey="Schwerdtfeger, F P" sort="Schwerdtfeger, F P" uniqKey="Schwerdtfeger F" first="F-P" last="Schwerdtfeger">F-P Schwerdtfeger</name>
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<title xml:lang="en">[The custom-fit voice prosthesis, for treatment of periprothetic leakage after tracheoesophageal voice restoration].</title>
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<name sortKey="Kress, P" sort="Kress, P" uniqKey="Kress P" first="P" last="Kress">P. Kress</name>
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<nlm:affiliation>HNO-Klinik, Mutterhaus der Borromäerinnen Trier. Kressp@mutterhaus.de</nlm:affiliation>
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<name sortKey="Sch Fer, P" sort="Sch Fer, P" uniqKey="Sch Fer P" first="P" last="Sch Fer">P. Sch Fer</name>
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<name sortKey="Schwerdtfeger, F P" sort="Schwerdtfeger, F P" uniqKey="Schwerdtfeger F" first="F-P" last="Schwerdtfeger">F-P Schwerdtfeger</name>
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<title level="j">Laryngo- rhino- otologie</title>
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<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Laryngectomy (rehabilitation)</term>
<term>Larynx, Artificial (adverse effects)</term>
<term>Male</term>
<term>Prosthesis Design</term>
<term>Prosthesis Failure</term>
<term>Time Factors</term>
<term>Tracheoesophageal Fistula (diagnosis)</term>
<term>Tracheoesophageal Fistula (etiology)</term>
<term>Tracheoesophageal Fistula (prevention & control)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Larynx, Artificial</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Tracheoesophageal Fistula</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Tracheoesophageal Fistula</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Tracheoesophageal Fistula</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Laryngectomy</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Prosthesis Design</term>
<term>Prosthesis Failure</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">Leakage around an indwelling voice prosthesis is detected during 13% up to 27% of all replacement procedures of voice prosthesis and causes serious complications in further voice restoration of the laryngectomee. Lots of therapeutic options to stop periprothetic leakage have been described (Injection of Bioplastique, autologous fat or collagen, suture techniques, spacer therapy) without convincing success rates.</div>
</front>
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<pubmed>
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<PMID Version="1">16586287</PMID>
<DateCreated>
<Year>2006</Year>
<Month>06</Month>
<Day>22</Day>
</DateCreated>
<DateCompleted>
<Year>2006</Year>
<Month>09</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
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<ISSN IssnType="Print">0935-8943</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>85</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2006</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Laryngo- rhino- otologie</Title>
<ISOAbbreviation>Laryngorhinootologie</ISOAbbreviation>
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<ArticleTitle>[The custom-fit voice prosthesis, for treatment of periprothetic leakage after tracheoesophageal voice restoration].</ArticleTitle>
<Pagination>
<MedlinePgn>496-500</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Leakage around an indwelling voice prosthesis is detected during 13% up to 27% of all replacement procedures of voice prosthesis and causes serious complications in further voice restoration of the laryngectomee. Lots of therapeutic options to stop periprothetic leakage have been described (Injection of Bioplastique, autologous fat or collagen, suture techniques, spacer therapy) without convincing success rates.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Custom-fit voice prostheses are ordinary indwelling voice prostheses (Blom-Singer low pressure Indwelling 20 fr) with enlarged flanges and reduced shaft length that are individually sized for the shunt of the laryngectomee. Especially enlarging the esophageal flange provides a tight sealing of leakage around the prosthesis.</AbstractText>
<AbstractText Label="PATIENTS" NlmCategory="METHODS">In a one year lasting clinical trial 692 voice prostheses were changed. In 77 cases periprothetic leakage was detected and fistulas were fitted with individually sized voice prostheses.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In 76 cases total control of leakage was achieved without any specific complications taking place. Moreover two types of leaking tracheoesophageal fistulas were distinguished, a dilated-atrophic and an infected-necrotic type. 57% of the fistulas were dilated-atrophic type and 43% of the fistulas were classified infected-necrotic type. Infected-necrotic fistulas needed enlarged flanges tracheal an esophageal for tight sealing in 91% of the cases whereas dilated-atrophic fistulas needed double flanges only in 45%. 70% of infected-necrotic type fistulas needed only one singular history of a custom-fit prosthesis and could be changed back to ordinary indwelling prostheses after healing had taken place.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">As the insertion of a modified prosthesis is only slightly more effort than an ordinary voice prosthesis insertion, the success rate is high und complications are rare we recommend the custom-fit voice prosthesis for treatment of periprothetic leakage.</AbstractText>
</Abstract>
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<VernacularTitle>Die Custom-fit-Stimmprothese. Zur Therapie der periprothetischen Leckage bei Stimmprothesenträgern.</VernacularTitle>
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<Year>2006</Year>
<Month>02</Month>
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