title: Management of voice prosthesis leakage with Blom-Singer large esophage and tracheal flange voice prostheses.
abstract: BACKGROUND
  Voice rehabilitation after total laryngectomy is a major socio-economic challenge. Voice rehabilitation can be achieved by voice prostheses, which provide rapid patient satisfaction. Enlarged tracheo-oesophageal puncture is a frequent complication and can be difficult to manage.
  
  
  METHODS
  A prospective study was conducted from November 2010 to October 2011 on 28 Blom-Singer large oesophageal and tracheal flange voice prostheses placed in 18 patients with enlarged tracheo-oesophageal puncture causing leakage around the voice prosthesis.
  
  
  RESULTS
  Leakage around the voice prosthesis resolved in all patients with a mean prosthesis lifespan of 95 days. The patients considered voice quality to be similar to that obtained with the initial voice prosthesis.
  
  
  CONCLUSIONS
  The Blom-Singer large oesophageal and tracheal flange voice prosthesis is a useful solution for the management of periprosthetic leakage ensuring similar voice quality and an identical lifespan to that of other voice prostheses.
authors.affiliation: Service ORL et chirurgie cervico-faciale, CHU de Rouen, pavillon F.-Dévé, 1, rue de Germont, 76031 Rouen cedex, France. olivier.choussy@chu-rouen.fr
authors.forename: O
authors.initials: O
authors.lastname: Choussy
authors.forename: R
authors.initials: R
authors.lastname: Hibon
authors.forename: N
authors.initials: N
authors.lastname: Bon Mardion
authors.forename: D
authors.initials: D
authors.lastname: Dehesdin
mesh_terms: D057868:Anastomotic Leak / Q000209:etiology / Q000601:surgery*; D004947:Esophagus / Q000293:injuries; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation; D007831:Larynx, Artificial / Q000009:adverse effects; D008297:Male; D011446:Prospective Studies; D011474:Prosthesis Design; D011475:Prosthesis Failure; D019919:Prosthesis Implantation; D013072:Speech, Esophageal / Q000295:instrumentation*; D014132:Trachea / Q000293:injuries; D014833:Voice Quality