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- Title
Blocked Voice Prosthesis: A Common Complication Reducing the Prosthesis Longevity.
- Authors
Halkud, Rajshekar; Shenoy, Ashok M.; Sunil, K. C.; Samskruthi, M.; Sarvadyna, Jagdish; Biswas, Siddharth; Chavan, Purshottam; Siddappa, K. T.; Shivappa, Akshay; Naik, Sudhir M.
- Abstract
Background/Objectives: Mechanical prosthetic valve rehabilitation after total laryngectomy have a success rates of 90% in restoring voice. The effective speech is achieved better with mechanical voice prosthesis when compared to esophageal speech and electrolarynx. Candidal growth and tubal blockage are the commonest cause of peri and endotubal leakage causing prosthesis failure. Case report: A 50-year-old male who had undergone wide field laryngectomy with primary tracheoesophageal puncture (TEP) with voice prosthesis 18 months back complained of blocked voice prosthesis and peritubal leakage. The tip of the cleaning brush which had blocked the opening was removed in the outpatients under topical anesthesia and the peritubal block reduced. Conclusion: Mechanical valve prosthesis rehabilitation after primary tracheoesophageal puncture is 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.
- Subjects
ARTIFICIAL larynges; ANESTHESIA; PATIENT education; HEALTH promotion; MEDICAL rehabilitation
- Publication
International Journal of Head & Neck Surgery, 2014, Vol 5, Issue 2, p66
- ISSN
0975-7899
- Publication type
Article
- DOI
10.5005/jp-journals-10001-1184