Using a tracheal stent for conservative management of speaking valve-associated tracheo-oesophageal fistula
Autor: | R Sothinathan, M Gaulton, S Patil, D Walker, M Cunnane, Lisa Pitkin |
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Rok vydání: | 2016 |
Předmět: |
Larynx
medicine.medical_specialty Conservative management medicine.medical_treatment Fistula Laryngectomy Conservative Treatment 03 medical and health sciences 0302 clinical medicine medicine Humans Phonation 030223 otorhinolaryngology business.industry Gold standard medicine.disease Tracheal stent Surgery medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Tracheo-oesophageal fistula Stents business Larynx Artificial Tracheoesophageal Fistula |
Zdroj: | Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-LaryngologyCervico-Facial Surgery. 43(2) |
ISSN: | 1749-4486 |
Popis: | Surgical voice rehabilitation is an essential dimension of treatment following total laryngectomy. The gold standard is tracheo-oesophageal puncture and speaking valve placement. Whilst offering excellent phonation in many patients, there is a well-documented risk of valve associated fistula formation, the incidence of which varies from 1 to 21% 1. Risk factors for delayed valve associated tracheo-oesophageal fistula include post chemo-radiotherapy (salvage laryngectomy), oesophageal stricture, persistent fungal infection and poor patient compliance in managing their speaking valve2. This article is protected by copyright. All rights reserved. |
Databáze: | OpenAIRE |
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