title: [Incompetent tracheoesophageal fistula following phonatory puncture. Surgical resolution].
abstract: Large tracheoesophageal fistulas (TEF) following a total laryngectomy are rare. Most often are associated with the creation of a surgical speech fistula or puncture. We describe the surgical technique used in 3 patients with large TEF after a total laryngectomy and the creation of a speech fistula with a voice prosthesis, followed by radiation therapy. Pertinent literature is reviewed.
authors.affiliation: Servicio de Otorrinolaringología, Hospital Universitario Dr. Peset, Valencia. mferrerr@comv.es
authors.forename: M J
authors.initials: MJ
authors.lastname: Ferrer Ramírez
authors.forename: E
authors.initials: E
authors.lastname: Estellés Ferriol
authors.forename: A
authors.initials: A
authors.lastname: Plá Mocholí
authors.forename: J
authors.initials: J
authors.lastname: Dalmau Galofre
authors.forename: R
authors.initials: R
authors.lastname: López Martínez
mesh_terms: D006801:Humans; D007825:Laryngectomy; D011183:Postoperative Complications; D013514:Surgical Procedures, Operative / Q000379:methods*; D014138:Tracheoesophageal Fistula / Q000209:etiology* / Q000601:surgery*; D014832:Voice Disorders / Q000601:surgery*