[Closure of esotracheal fistula after phonation implants. Technique and results of tracheal ascension].
Enlarging tracheoesophageal fistula after tracheoesophageal prosthesis for voice rehabilitation remains a major challenge. The authors analyze the results of treatment of 15 severe enlarging tracheoesophageal fistulas among 28 cases (52%) of tracheoesophageal voice rehabilitation which occurred during a 4 years period of time. Among these 15 cases, a spontaneous closure occurred in 3 cases (20%), a two layers closure was performed in 4 cases (26%) and a closure using a tracheal ascension associated with the design of a new tracheostoma was performed on 8 cases (53%). The authors describe the surgical technique and discussed the advantages of surch technique.
Bessede
J P
JP
Service ORL, CHU Dupuytren, Limoges.
Bories
F
F
Enaux
M
M
Orsel
S
S
Sauvage
J P
JP
D000328:Adult; D000368:Aged; D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation; D007831:Larynx, Artificial; D008875:Middle Aged; D010611:Pharyngectomy / Q000534:rehabilitation; D014132:Trachea / Q000601:surgery; D014138:Tracheoesophageal Fistula / Q000209:etiology / Q000601:surgery*; D014139:Tracheostomy
Fermeture des fistules oesotrachéales après pose d'implant phonatoire. Technique et résultat de l'ascension trachéale.