Title: Submucosal purse-string suture as a treatment of leakage around the indwelling voice prosthesis
Authors: Jacobs, Kristien
Delaere, Pierre
Vander Poorten, Vincent # ×
Issue Date: Apr-2008
Publisher: J. Wiley
Series Title: Head & neck vol:30 pages:485-491
Abstract: Abstract

Leakage around the indwelling voice prosthesis is an annoying complication of tracheoesophageal speech.

Twenty patients, who experienced peripheral leakage of the tracheoesophageal fistula, were treated with a purse-string suture. Our aim was to get the patients free of leakage without losing their voice prosthesis. The technique was considered successful if this objective was reached and unsuccessful if eventually closure of the fistula was required.

Immediately after the procedure, no patients showed residual leakage. At 1 month, 2 patients experienced recurrent leakage. At a mean follow-up of 19.4 months, the method was successful in 16 patients and unsuccessful in 4 patients.

If peripheral leakage is not amenable to simple downsizing of the indwelling voice prosthesis, we feel the purse-string suture is the first-choice treatment because of its safety, efficiency, low cost, and ease of application. © 2007 Wiley Periodicals, Inc. Head Neck, 2007
ISSN: 1043-3074
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Group Experimental Oto-rhino-laryngology
Laboratory of Experimental Transplantation
Head and Neck Oncology (+)
× corresponding author
# (joint) last author

Files in This Item:
File Description Status SizeFormat
purse string suture.pdfMain Article Published 177KbAdobe PDFView/Open


All items in Lirias are protected by copyright, with all rights reserved.

© Web of science