title: [Complications of tracheoesophageal puncture for Blom-Singer voice restoration after total laryngectomy].
abstract: OBJECTIVE
  To investigate causes and treatment of complications of tracheoesophageal puncture for Blom-Singer voice restoration after total laryngectomy.
  
  
  METHODS
  From 1986 to 2004, one hundred and fifty one cases with Blom-Singer technique after total laryngectomy for voice restoration were retrospectively analyzed.
  
  
  RESULTS
  All cases were followed up from 6 months to 15 years. Among 151 cases, 138 cases got successful phonation and the total success rate of voice restoration was 91.4%. Of the 151 cases, 15 cases occurred complications. The rate of complications was 9.9%. The common complications included fistula granulations, infection, and leakage. Twelve cases got successful treatment accordingly, and the other 3 cases failed in phonation.
  
  
  CONCLUSIONS
  The procedure of tracheoesophageal puncture for voice restoration is relatively simple and has low complications. this method had high phonation success and good phonation quality, which is one of the best way to make laryngectomee to speak.
authors.affiliation: Department of Otorhinolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing.
authors.forename: Qing-ming
authors.initials: QM
authors.lastname: Li
authors.forename: Bao-quan
authors.initials: BQ
authors.lastname: Zhang
authors.forename: Pei-hong
authors.initials: PH
authors.lastname: Peng
authors.forename: Bo-jun
authors.initials: BJ
authors.lastname: Wei
authors.forename: Xiao-wei
authors.initials: XW
authors.lastname: Chen
authors.forename: Xiu-zhen
authors.initials: XZ
authors.lastname: Shi
authors.forename: Zhi-qiang
authors.initials: ZQ
authors.lastname: Gao
authors.forename: Hai-jin
authors.initials: HJ
authors.lastname: Yin
authors.forename: Guo-dong
authors.initials: GD
authors.lastname: Feng
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy / Q000009:adverse effects / Q000534:rehabilitation*; D007831:Larynx, Artificial; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies