title: A Simple Closure Technic for Tracheoesophageal Puncture Failures.
abstract: Tracheosephageal puncture is the one of the most favorable methods, and widely used by physicians for voice reconstruction after total laryngectomy. Intractable leakages from the tracheosephageal punctures are the most common complication, and management of these fistulas is still troublesome for the patients and physicians. Local surgical sutures, rotational flaps, injections are reported previously, but in this report the authors aimed to mention on a very simple method with silicone septal button. Insertion of a temporary silicone septal button may be well tolerated by patients and can help to manage this complication easily on exact indications. The authors discussed indications and long-term results of this method with different patients.
authors.affiliation: *Department of Otolaryngology, Kocaeli University Faculty of Medicine†Department of Otolaryngology, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Mutlu
authors.forename: Sinem
authors.initials: S
authors.lastname: Dasli
authors.forename: Murat
authors.initials: M
authors.lastname: Ozturk
authors.forename: Murat
authors.initials: M
authors.lastname: Topdag
mesh_terms: D000368:Aged; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects / Q000379:methods; D007831:Larynx, Artificial; D008297:Male; D008875:Middle Aged; D011677:Punctures / Q000009:adverse effects* / Q000379:methods; D012826:Silicone Elastomers / Q000627:therapeutic use*; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000601:surgery; D014132:Trachea / Q000601:surgery; D014138:Tracheoesophageal Fistula / Q000209:etiology / Q000601:surgery*; D058106:Wound Closure Techniques / Q000295:instrumentation*
chemical_list: D012826:Silicone Elastomers