Powikiania wczesne i późne po implantacji protezy glosowej Provox 2 u chorych po laryngektomii calkowitej
Journal Title: Otolaryngologia Polska - Year 2011, Vol 65, Issue 3
Abstract
SUMMARY Introduction: Effective communication is an important element of social life. For a long time depravation of the capacity of such communication has been perceived as one of the most aggravating disabilities. It happens when the necessity to remove the larynx in patients with cancer appears. Contemporary methods of speech rehabilitation in patients after total laryngectomy create the possibility to communicate by three methods. One of them is generated speech with the use of voice prosthesis. Material and methods: The examination included group of 76 patients (7 women, 69 men) after total laryngectomy with implanted voice prosthesis Provox 2. All the patients were operated on at the Department of Otolaryn-gology CM UMK. The early and late complication after implantation of voice prosthesis was analyzed. Results: In our material we observed more frequentyly late complications. In 97.4% a leakage through or around the prosthesis was observed. In 35 cases we observed leakage through the wide tracheooesophagal fistula with good outcome due to spontaneusly contract of it after removal of the prosthesis. In four cases we used stitches above the fistula and in three patients we did tracheostomal plastic. The granulation tissue from the region of the fistula was removed in 11 patients. Spontaneous falling out of the prosthesis appeared in 6 cases. The late complications as tracheal immflamation, stricture of the oesophagus or occlusion of the fistula were less common. Conclusions: The late complications after implantation of Provox 2 prosthesis are more common in this type of patients' rehabilitation. The leakage through or around the prosthesis required its exchange and generated additional medical costs, which should be reserved in medical insurance policies.
Authors and Affiliations
Małgorzata Wierzchowska, Paweł Burduk
Keywords
Related Articles
- EP ID EP52251
- DOI -
- Views 111
- Downloads 0
Uszypułowany płat na tętnicy nadobojczykowej w rekonstrukcjach przetok skórno-gardłowych po zabiegach całkowitego usunięcia krtani
Celem pracy była analiza wyników leczenia zamknięcia przetok skórno – gardłowch powstałych po całkowitym usunię- ciu krtani z wykorzystaniem płata skórno-powięziowego na tętnicy nadobojczykowej. W grupie 6 chorych lecz...
Endoscopic treatment of giant skuli base osteomas
SUMMARY Introduction: Osteomas are relatively common, benign, slow-growing neoplasms. Mainly occurring in frontal and ethmoid sinuses. Endoscopic surgery plays an important role in management of ethmoid, sphenoid and fro...
The advanced hypopharyngeal cancers surgery treatment complications
SUMMARY Introduction: Hypopharynx is the anatomical region created by strictly functionally connected regions: two pyriform sinuses, retrocricoid region and the posterior pharyngeal wali on its level. Hypopharyngeal Canc...
A rare case of plasmocytoma of uvulae and carcinoma of larynx
Plasmocytoma solitare is a rare disease of lymphoprolipherative origin. It is usually diagnosed occasionally on ORL departaments because of its close relation to head and neck localisation. Surgical treatment and/or radi...
Evaluation of the usefulness the impulse-current electrogustometry and application of the method in the taste diagnostics after tonsillectomy