Case of the month: Dislodged tracheo-oesophageal valve: importance of rapid replacement or stenting.
Dislodgement of a tracheo-oesophageal prosthesis needs prompt action to ensure patency and prevent aspiration in patients with total laryngectomy. Failure to do so may lead to an unnecessary repeat tracheo-oesophageal puncture. This case report is about a patient who needed a repeat procedure under general anaesthetic. It highlights the need for emergency physicians to be aware of this not uncommon event in a patient with a laryngectomy and to refer them immediately for ENT review.
Department of Otolaryngology, Russells Hall Hospital, Dudley, West Midlands, UK. harsharaminda@hotmail.com
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D000368:Aged; D004630:Emergencies; D006801:Humans; D007825:Laryngectomy; D007831:Larynx, Artificial; D008297:Male; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents