Skip to main content
Log in

Three-layer closure of a tracheoesophageal puncture site: A technical note

  • Published:
Advances in Therapy Aims and scope Submit manuscript

Abstract

A tracheoesophageal voice prosthesis is highly effective in promoting good speech after total laryngectomy. However, long-term use of this device occasionally results in the development of fistulas that must be closed, usually at the request of the patient, because of leakage of saliva and food around the prosthesis. This report describes a technique for simple 3-layer closure of the tracheoesophageal puncture site; other procedures are discussed in light of the current literature.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Akbas Y, Dursun G. Voice restoration with low pressure Blom Singer voice prosthesis after total laryngectomy.Yonsei Med J. 2003; 44: 615–618.

    PubMed  Google Scholar 

  2. Singer MI, Blom ED. An endoscopic technique for restoration of voice after laryngectomy.Ann Otol Rhinol Laryngol. 1980; 89: 529–533.

    PubMed  CAS  Google Scholar 

  3. Hilgers FJM, Schouwenburg PF. A new low-resistance, self-retaining prosthesis (Provox) for voice rehabilitation after total laryngectomy.Laryngoscope. 1990; 100: 1202–1207.

    Article  PubMed  CAS  Google Scholar 

  4. Rosen A, Scher N, Panje WR. Surgical closure of persisting failed tracheoesophageal voice fistula.Ann Otol Rhinol Laryngol. 1997; 106: 775–778.

    PubMed  CAS  Google Scholar 

  5. Op de Coul BMR, Hilgers FJM, Balm AJM, Tan IB, van den Hoogen FJA, van Tinteren H. A decade of postlaryngectomy vocal rehabilitation in 318 patients.Arch Otolaryngol Head Neck Surg. 2000; 126: 1320–1328.

    PubMed  CAS  Google Scholar 

  6. Görür K, Özcan C, Ünal M, Özkul MD. A new and simple modification of the prosthetic voice restoration technique.J Laryngol Otol. 2003; 117: 365–367.

    Article  PubMed  Google Scholar 

  7. Luff DA, Izzat S, Farrington WT. Viscoaugmentation as a treatment for leakage around the Provox® 2 voice rehabilitation system.J Laryngol Otol. 1999; 113: 847–848.

    Article  PubMed  CAS  Google Scholar 

  8. Rokade AV, Mathews J, Reddy KTV. Tissue augmentation using Bioplastique® as a treatment of leakage around a Provox® 2 voice prosthesis.J Laryngol Otol. 2003; 117: 80–82.

    Article  PubMed  CAS  Google Scholar 

  9. Hosal SA, Myers EN. How I do it: closure of tracheoesophageal puncture site.Head Neck. 2001; 23: 214–216.

    Article  PubMed  CAS  Google Scholar 

  10. Singer MI, Hamaker RC, Blom ED. Revision procedure for the tracheoesophageal puncture.Laryngoscope. 1989; 99: 761–763.

    Article  PubMed  CAS  Google Scholar 

  11. Annyas AA, Escajadillo JR. Closure of tracheoesophageal fistulas after removal of the voice prosthesis.Laryngoscope. 1984; 94: 1244–1245.

    Article  PubMed  CAS  Google Scholar 

  12. Moerman M, Vermeersch H, Heylbroeck P. A simple surgical technique for tracheoesophageal fistula closure.Eur Arch Otorhinolaryngol. 2004; 261: 381–385.

    PubMed  Google Scholar 

  13. Lee LM, Razi A. Three-layer technique to close a persistent tracheo-esophageal fistula.Asian J Surg. 2004; 27: 336–338.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ünal, M. Three-layer closure of a tracheoesophageal puncture site: A technical note. Adv Therapy 23, 733–738 (2006). https://doi.org/10.1007/BF02850313

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02850313

Keywords

Navigation