Tracheostoma diverticulum following tracheoesophageal puncture.
Although the initial reports of tracheoesophageal puncture after total laryngectomy reported little to no morbidity, subsequent studies with longer follow-up have reported a significant number of complications. We present the first reported case (to our knowledge) of prolapse of the posterior tracheal wall with diverticulum formation developing 6 years after continuous use of tracheoesophageal puncture speech. Preoperative assessment with a barium esophagogram and rigid esophagoscopy aided in the successful surgical treatment of this disorder. The pathogenesis of this complication and method of repair are discussed.
Hoffman
H T
HT
Division of Otolaryngology, University of California, San Diego.
Baker
S R
SR
D004240:Diverticulum / Q000209:etiology* / Q000601:surgery; D004946:Esophagostomy / Q000009:adverse effects*; D006801:Humans; D007825:Laryngectomy; D007831:Larynx, Artificial; D008297:Male; D008875:Middle Aged; D011391:Prolapse / Q000209:etiology; D011677:Punctures / Q000009:adverse effects*; D012086:Reoperation; D013997:Time Factors; D014133:Tracheal Diseases / Q000209:etiology* / Q000601:surgery; D014139:Tracheostomy / Q000009:adverse effects*