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European Archives of Oto-Rhino-Laryngology

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01-03-2015 | Laryngology

The development and treatment of periprosthetic leakage after prosthetic voice restoration: a literature review and personal experience. Part II: conservative and surgical management

Author: Kai J. Lorenz

Published in: European Archives of Oto-Rhino-Laryngology | Issue 3/2015

Abstract

In the past 30 years, the use of voice prostheses has become the gold standard for voice rehabilitation after total laryngectomy. The placement of a voice prosthesis is a simple procedure that is associated with only a minor increase in operating time and a low rate of complications. Most problems with voice prostheses are minor and can be easily managed. Enlargement of the tracheo-oesophageal fistula, however, can be a severe complication. Approximately 25 % of all patients with voice prostheses develop periprosthetic leakage with aspiration within 1–4 years after the placement of a voice prosthesis. Depending on the severity of fistula enlargement, treatment ranges from conservative approaches to maximally invasive procedures. In some cases, however, these measures prove unsuccessful. The causes of treatment failure and fistula enlargement are not yet fully understood. Apart from a discussion of treatment options, an algorithm for the management of this complication is presented on the basis of the literature and the experience that we have accumulated at our institution during the past 20 years in the treatment of 232 laryngectomised patients.

Albirmawy OA, Elsheikh MN, Saafan ME et al (2006) Managing problems with tracheoesophageal puncture for alaryngeal voice rehabilitation. J Laryngol Otol 120:470–477CrossRefPubMed

Andrews JC, Mickel RA, Hanson DG et al (1987) Major complications following tracheoesophageal puncture for voice rehabilitation. Laryngoscope 97:562–567CrossRefPubMed

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

Balasubramanian D, Iyer S, Thankappan K (2013) Tracheoesophageal puncture site closure with single perforator-based deltopectoral flap. Head Neck 35:E60–E63CrossRefPubMed

Bessede JP, Bories F, Enaux M et al (1995) Closure of esotracheal fistula after phonation implants. Technique and results of tracheal ascension. Ann Otolaryngol Chir Cervicofac 112:353–355PubMed

Birk S, Michaeli P, Kapsreiter M et al (2009) Dislokation von Stimmprothesen. Interdisziplinares Vorgehen bei Diagnostik und Therapie. Hno 57:1126–1130CrossRefPubMed

Blom ED (2003) Some comments on the escalation of tracheoesophageal voice prosthesis dimensions. Arch Otolaryngol Head Neck Surg 129:500–502CrossRefPubMed

Brasnu D, Pages JC, Laccourreye O et al (1994) Results of the treatment of spontaneous widening of tracheo-esophageal punctures after laryngeal implant. Ann Otolaryngol Chir Cervicofac 111:456–460PubMed

Bunting GW (2004) Voice following laryngeal cancer surgery: troubleshooting common problems after tracheoesophageal voice restoration. Otolaryngol Clin North Am 37:597–612CrossRefPubMed

10.

Cavalot AL, De Sanctis A, Palonta F et al (2004) Closure of tracheo-oesophageal fistula following removal of voice prosthesis; a new surgical technique. Acta Otorhinolaryngol Ital 24:75–77PubMed

11.

Chaturvedi P, Pawar P, Dholam K et al (2013) A novel obturator device for management of dilated trachea-esophageal puncture tract fistulas. Indian J Otolaryngol Head Neck Surg 65:3–5PubMedCentralPubMed

12.

Cocuzza S, Bonfiglio M, Chiaramonte R et al (2012) Gastroesophageal reflux disease and postlaryngectomy tracheoesophageal fistula. Eur Arch Otorhinolaryngol 269:1483–1488CrossRefPubMed

13.

Cunha-Gomes D, Kavarana NM (2001) The surgical treatment of post-laryngectomy pharyngocutaneous fistulae. Acta Chir Plast 43:115–118PubMed

14.

Delaere PR, Delsupehe KG (1994) Closure of persistent tracheoesophageal fistulas after removal of the voice prosthesis. Laryngoscope 104:494–496PubMed

15.

Eerenstein SE, Grolman W, Schouwenburg PF (2002) Downsizing of voice prosthesis diameter in patients with laryngectomy: an in vitro study. Arch Otolaryngol Head Neck Surg 128:838–841CrossRefPubMed

16.

Ferrer Ramírez MJ, Estellés Ferriol E, Plá Mocholí A et al (2004) Incompetent tracheoesophageal fistula following phonatory puncture. Surgical resolution. Acta Otorrinolaringol Esp 55:198–200CrossRefPubMed

17.

Garth RJ, Mcrae A, Rhys Evans PH (1991) Tracheo-oesophageal puncture: a review of problems and complications. J Laryngol Otol 105:750–754CrossRefPubMed

18.

Gehrking E (2010) Therapie der tracheoosophagealen und tracheopharyngealen Fisteln nach Laryngektomie. Hno 58:497–505CrossRefPubMed

19.

Herzog M, Greiner I (2011) Treatment of large pharyngotracheal fistulas after laryngectomy by a novel customized pharyngeal stent. Eur Arch Otorhinolaryngol 268:747–754CrossRefPubMed

20.

Hilgers FJ, Balm AJ (1993) Long-term results of vocal rehabilitation after total laryngectomy with the low-resistance, indwelling Provox voice prosthesis system. Clin Otolaryngol Allied Sci 18:517–523CrossRefPubMed

21.

Hilgers FJM, Soolsma J, Ackerstaff AH et al (2008) A thin tracheal silicone washer to solve periprosthetic leakage in laryngectomies: direct results and long-term clinical effects. Laryngoscope 118:640–645CrossRefPubMed

22.

Hoffmann TK, Sommer P, Bier H (2006) Die Kollageninjektion zur Augmentation des insuffizienten Stimmprothesenlagers. Laryngorhinootologie 85:556–558CrossRefPubMed

23.

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

24.

Jacobs K, Delaere PR, Vander Poorten VLM (2008) Submucosal purse-string suture as a treatment of leakage around the indwelling voice prosthesis. Head Neck 30:485–491CrossRefPubMed

25.

Jobe BA, Rosenthal E, Wiesberg TT et al (2002) Surgical management of gastroesophageal reflux and outcome after laryngectomy in patients using tracheoesophageal speech. Am J Surg 183:539–543CrossRefPubMed

26.

Judd O, Bridger M (2008) Failed voice restoration: closure of the tracheo-oesophageal fistula. Clin Otolaryngol 33:261–264CrossRefPubMed

27.

Koch M, Zenk J, Birk S et al (2010) Surgical closure of persistent tracheoesophageal fistulas by esophageal suturing and cranial transposition of the trachea. Otolaryngol Head Neck Surg 143:843–844CrossRefPubMed

28.

Komatsubara S, Hanamure Y, Suda Y et al (2008) Fat injection to treat widening of a tracheoesophageal fistula with a voice prosthesis. Nippon Jibiinkoka Gakkai Kaiho 111:412–415CrossRefPubMed

29.

Krause E, Hempel JM, Gurkov R (2009) Botulinum toxin A prolongs functional durability of voice prostheses in laryngectomees with pharyngoesophageal spasm. Am J Otolaryngol 30:371–375CrossRefPubMed

30.

Kress P, Schäfer P, Schwerdtfeger FP (2006) The custom-fit voice prosthesis, for treatment of periprothetic leakage after tracheoesophageal voice restoration. Laryngorhinootologie 85:496–500CrossRefPubMed

31.

Lee LM, Razi A (2004) Three-layer technique to close a persistent tracheo-oesophageal fistula. Asian J Surg 27:336–338CrossRefPubMed

32.

Lewin JS, Hutcheson KA, Barringer DA et al (2012) Customization of the voice prosthesis to prevent leakage from the enlarged tracheoesophageal puncture: results of a prospective trial. Laryngoscope 122:1767–1772CrossRefPubMedCentralPubMed

33.

Lichtenberger G (2001) Advances and refinements in surgical voice rehabilitation after laryngectomy. Eur Arch Otorhinolaryngol 258:281–284CrossRefPubMed

34.

Lorenz K, Ehrhart T, Grieser L et al (2011) The management of periprosthetic leakage in the presence of supra-oesophageal reflux after prosthetic voice rehabilitation. Eur Arch Otorhinolaryngol 268:695–702CrossRefPubMed

35.

Lorenz KJ, Ehrhart T, Grieser L et al (2009) Koinzidenz von Stimmfistelerweiterungen und supraösophagealem Reflux bei Patienten nach stimmprothetischer Versorgung bei Laryngektomie. Hno 57:1253–1261CrossRefPubMed

36.

Lorenz KJ, Grieser L, Ehrhart T et al (2011) Laryngectomised patients with voice prostheses: influence of supra-esophageal reflux on voice quality and quality of life. HNO 59:179–187CrossRefPubMed

37.

Lorenz KJ, Grieser L, Ehrhart T et al (2010) Medikamentöse Antireflux-Therapie zur Behandlung von Stimmfistelkomplikationen bei stimmprothetisch versorgten Patienten nach Laryngektomie. Hno 58:919–926CrossRefPubMed

38.

Lorenz KJ, Grieser L, Ehrhart T et al (2010) Role of reflux in tracheoesophageal fistula problems after laryngectomy. Ann Otol Rhinol Laryngol 119:719–728PubMed

39.

Lorincz BB, Lichtenberger G, Bihari A et al (2005) Therapy of periprosthetical leakage with tissue augmentation using Bioplastique around the implanted voice prosthesis. Eur Arch Otorhinolaryngol 262:32–34CrossRefPubMed

40.

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

41.

Malik T, Bruce I, Cherry J (2007) Surgical complications of tracheo-oesophageal puncture and speech valves. Curr Opin Otolaryngol Head Neck Surg 15:117–122CrossRefPubMed

42.

Malik TH, Badran KH, Belloso A et al (2004) Transient quadriplegia following re-puncture of tracheo-oesophageal fistula. J Laryngol Otol 118:734–736CrossRefPubMed

43.

Manni JJ, Van Den Broek P (1990) Surgical and prosthesis-related complications using the Groningen button voice prosthesis. Clin Otolaryngol Allied Sci 15:515–523CrossRefPubMed

44.

Margolin G, Masucci G, Kuylenstierna R et al (2001) Leakage around voice prosthesis in laryngectomees: treatment with local GM-CSF. Head Neck 23:1006–1010CrossRefPubMed

45.

Mcmurtrie A, Georgeu GA, Kok K et al (2005) Novel method of closing a tracheo-oesophageal fistula using a de-epithelialized deltopectoral flap. J Laryngol Otol 119:129–131CrossRefPubMed

46.

Mirza S, Head M, Robson AK (2003) Silicone septal button in the management of a large tracheo-oesophageal fistula following primary puncture in a laryngectomee. ORL J Otorhinolaryngol Relat Spec 65:129–130CrossRefPubMed

47.

Mobashir MK, Basha WM, Mohamed AE et al (2014) Management of persistent tracheoesophageal puncture. Eur Arch Otorhinolaryngol 271:379–383CrossRefPubMed

48.

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

49.

Mullan GP, Lee MT, Clarke PM (2006) Botulinum neurotoxin for management of intractable central leakage through a voice prosthesis in surgical voice restoration. J Laryngol Otol 120:789–792CrossRefPubMed

50.

Neumann A, Schultz-Coulon HJ (2000) Management von Komplikationen nach prothetischer Stimmrehabilitation. Hno 48:508–516CrossRefPubMed

51.

Op De Coul BM, Hilgers FJ, Balm AJ et al (2000) A decade of postlaryngectomy vocal rehabilitation in 318 patients: a single Institution’s experience with consistent application of provox indwelling voice prostheses. Arch Otolaryngol Head Neck Surg 126:1320–1328CrossRefPubMed

52.

Pattani KM, Morgan M, Nathan CO (2009) Reflux as a cause of tracheoesophageal puncture failure. Laryngoscope 119:121–125CrossRefPubMed

53.

Périé S, Ming X, Dewolf E et al (2002) Autologous fat injection to treat leakage around tracheoesophageal puncture. Am J Otolaryngol 23:345–350CrossRefPubMed

54.

Prichard AJ, Powell A, Samuel PR et al (1994) Surgical voice restoration: the Sunderland experience. J R Coll Surg Edinb 39:355–359PubMed

55.

Remacle MJ, Declaye XJ (1988) Gax-collagen injection to correct an enlarged tracheoesophageal fistula for a vocal prosthesis. Laryngoscope 98:1350–1352CrossRefPubMed

56.

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

57.

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

58.

Sarria Echegaray P, Tomas Barberan M, Mas Mercant S et al (2000) Pharmacological prophylaxis of gastroesophageal reflux. Incidence of pharyngocutaneous fistula after total laryngectomy. Acta Otorrinolaringol Esp 51:239–242PubMed

59.

Scheuermann K, Delank KW (2006) Der M.-sternocleidomastoideus-Lappen: eine Moglichkeit zum Verschluss des Stimmshunts nach Laryngektomie. Laryngorhinootologie 85:90–92CrossRefPubMed

60.

Schmitz S, Van Damme J-P, Hamoir M (2009) A simple technique for closure of persistent tracheoesophageal fistula after total laryngectomy. Otolaryngol Head Neck Surg 140:601–603CrossRefPubMed

61.

Seikaly H, Park P (1995) Gastroesophageal reflux prophylaxis decreases the incidence of pharyngocutaneous fistula after total laryngectomy. Laryngoscope 105:1220–1222CrossRefPubMed

62.

Seshamani M, Ruiz C, Kasper Schwartz S et al (2006) Cymetra injections to treat leakage around a tracheoesophageal puncture. ORL J Otorhinolaryngol Relat Spec 68:146–148CrossRefPubMed

63.

Shuaib SW, Hutcheson KA, Knott JK et al (2012) Minimally invasive approach for the management of the leaking tracheoesophageal puncture. Laryngoscope 122:590–594CrossRefPubMed

64.

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

65.

Singer MI, Blom ED, Hamaker RC (1981) Further experience with voice restoration after total laryngectomy. Ann Otol Rhinol Laryngol 90:498–502CrossRefPubMed

66.

Siu KF, Wei WI, Lam KH et al (1985) Use of the pectoralis major muscle flap for repair of a tracheoesophageal fistula. Am J Surg 150:617–619CrossRefPubMed

67.

Solans T, Merol JC, Chays A et al (2005) Treatment of voice prosthesis leakage. Preliminary results. Ann Otolaryngol Chir Cervicofac 122:202–205CrossRefPubMed

68.

Spelsberg FW, Wollenberg B, Weidenhagen R et al (2009) Trachealstents wegen osophagotrachealer Fistel beim Laryngektomierten. Sichere Fixierung am Tracheostoma. Hno 57:1065–1069CrossRefPubMed

69.

Vollrath M (2010) Surgery of persisting tracheo-esophageal provox-fistula. Laryngorhinootologie 89:262–264CrossRefPubMed

70.

Wreesmann VB, Smeele LE, Hilgers FJ et al (2009) Closure of tracheoesophageal fistula with prefabricated revascularized bilaminar radial forearm free flap. Head Neck 31:838–842CrossRefPubMed

Title: The development and treatment of periprosthetic leakage after prosthetic voice restoration: a literature review and personal experience. Part II: conservative and surgical management
Author: Kai J. Lorenz
Publication date: 01-03-2015
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 3/2015
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-014-3393-8

At a glance: The STEP trials

Springer Medicine

The development and treatment of periprosthetic leakage after prosthetic voice restoration: a literature review and personal experience. Part II: conservative and surgical management

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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