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2012•Multidisciplinary Respiratory MedicineOpen access

Aspiration of tracheoesophageal prosthesis in a laryngectomized patient

Sergio C. Conte, Elena De Nardi, Federico Conte, S Nardini

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Abstract

BACKGROUND: The voice prosthesis inserted into a tracheoesophageal fistula has become the most widely used device for voice rehabilitation in patients with total laryngectomy. CASE PRESENTATION: We describe a case of tracheoesophageal prosthesis' (TEP) aspiration in a laryngectomized patient, with permanent tracheal stoma, that appeared during standard cleaning procedure, despite a programme of training for the safe management of patients with voice prosthesis. CONCLUSIONS: The definitive diagnosis and treatment were performed by flexible bronchoscopy, that may be considered the procedure of choice in these cases, also on the basis of the literature.

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What this paper is about

BACKGROUND: The voice prosthesis inserted into a tracheoesophageal fistula has become the most widely used device for voice rehabilitation in patients with total laryngectomy. CASE PRESENTATION: We describe a case of tracheoesophageal prosthesis' (TEP) aspiration in a laryngectomized patient, with permanent tracheal stoma, that appeared during standard cleaning procedure, despite a programme of training for the safe management of patients with voice prosthesis. CONCLUSIONS: The definitive diagnosis and treatment were performed by flexible bronchoscopy, that may be considered the procedure of choice in these cases, also on the basis of the literature.

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Available abstract

BACKGROUND: The voice prosthesis inserted into a tracheoesophageal fistula has become the most widely used device for voice rehabilitation in patients with total laryngectomy. CASE PRESENTATION: We describe a case of tracheoesophageal prosthesis' (TEP) aspiration in a laryngectomized patient, with permanent tracheal stoma, that appeared during standard cleaning procedure, despite a programme of training for the safe management of patients with voice prosthesis. CONCLUSIONS: The definitive diagnosis and treatment were performed by flexible bronchoscopy, that may be considered the procedure of choice in these cases, also on the basis of the literature.

Key concepts: Medicine, Laryngectomy, Prosthesis, Tracheoesophageal fistula, Cardiothoracic surgery, Voice prosthesis, Surgery, General surgery

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