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[Traissac voice prosthesis. Apropos of 9 years experiences]
C Coudray1, D Dilem, P Y Lienhardt
1CH du Havre, Clinique ORL, France.
Background:
Long term results are discussed.
Patients:
A retrospective study of 9 years (1/01/89, 1/01/98) concern 107 laryngectomized patients with 9 patients a part from this period, and 30% without prosthesis. Among 80 patients with prosthesis, 57% had received primary TEPs (tracheoesophageal puncture), 21% delayed primary TEPs and 22% secondary TEPs. Oesophageal voice is always learned with tracheoesophageal voice.
Results:
We find a success rate (1 month) in 75% of cases, with a maximum follow up time of 8 years (the average is 3 years 1 month). We find a success rate with a long-term result in 66% of cases. Prosthesis removal exists in 30% of cases and oesophageal voice is successfull once out of 3 in this cases. Mean lifetime Traissac's prosthesis is 18 months. After removal, non closed fistulas can exist in 40% of cases, and surgery is always successful.
Discussion:
Material Traissac's prosthesis explains extended lifetime.
Conclusion:
Traissac's prosthesis gave us satisfaction during a use of 8 years.