Blocked Voice Prosthesis: A Common Complication Reducing the Prosthesis Longevity

JOURNAL TITLE: International Journal of Head and Neck Surgery

Author
1. Akshay Shivappa
2. Siddharth Biswas
3. Ashok M Shenoy
4. KC Sunil
5. M Samskruthi
6. Sudhir Naik
7. Jagdish Sarvadyna
8. Purshottam Chavan
9. Rajshekar Halkud
10. KT Siddappa
ISSN
0975-7899
DOI
10.5005/jp-journals-10001-1184
Volume
5
Issue
2
Publishing Year
2014
Pages
6
Author Affiliations
    1. Assistant Professor in ENT and Head and Neck Surgery, KVG Medical College Hospital, Sullia, Karnataka, India
    1. Department of Head and Neck Oncosurgery Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
    1. Department of Surgical Oncology, Division of Head and Neck Oncology, Department of Surgical Oncology Cancer Institute (WIA), Adyar, Chennai, Tamil Nadu, India
    1. Department of Head and Neck Surgery, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
    1. Department of Head and Neck oncosurgery, Kidwai Memorial Institute of oncology, Bengaluru, Karnataka, India
    1. Department of Head and Neck oncosurgery, Kidwai Memorial Institute of oncology, Bengaluru, Karnataka, India
    1. Department of Head and Neck oncosurgery, Kidwai Memorial Institute of oncology, Bengaluru, Karnataka, India
    1. Department of oral oncosurgery, Kidwai Memorial Institute of oncology, Bengaluru, Karnataka, India
    1. Department of Head and Neck oncosurgery, Kidwai Memorial Institute of oncology, Bengaluru, Karnataka, India
  • Article keywords

    Abstract

    Background/Objectives

    Mechanical prosthetic valve rehabili tation 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 outpa tients 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.

    How to cite this article

    Halkud R, Shenoy AM, Sunil KC, Samskruthi M, Sarvadyna J, Biswas S, Chavan P, Siddappa KT, Shivappa A, Naik SM. Blocked voice Prosthesis: A Common Complication Reducing the Prosthesis Longevity. Int J Head Neck Surg 2014;5(2):66-71.

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