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Published on: August 26, 2016
Closure of Tracheoesophageal Puncture after Total Laryngectomy
Giuseppe Riva1, Federico Dagna1, Eugenia Ricci1
11 Otorhinolaryngology Division, Santa Croce Hospital, Moncalieri, Italy.
Abstract:
Tracheoesophageal puncture with voice prosthesis placement is used to restore vocal function after total laryngectomy. However, closure of the fistula is sometimes needed. At our department, a simple and effective technique for closure was developed. It does not require interposed tissues or materials. Moreover, our procedure allows for a short rehabilitation time for swallowing and a short hospitalization. We describe advantages, pitfalls, and errors to avoid. This technique should not be performed for patients who are irradiated and those with large fistulas.
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