Abstract Background An enlarged tracheoesophageal puncture (TEP) site is a grave complication of voice prosthesis rehabilitation. Case presentation We report case periprosthetic leakage with an fistula causing aspiration, not responding to conservative management and primary closure. Internal mammary artery perforator (IMAP) flap was subsequently used in the management. The successfully taken u...

INTRODUCTION Medialization thyroplasty is performed to improve the voice and swallowing ability in patients with unilateral laryngeal palsy. Some clinicians have used the procedure to improve the voice following cordectomy. In such cases, the extent of fibrosis of the surgical bed necessitates wide dissection of the paraglottic space to introduce the prosthesis. This surgical step is uncomforta...

Annually, approximately 250 total laryngectomies are carried out in the Netherlands. During this surgical procedure, the entire larynx is removed, mostly because of laryngeal or hypopharyngeal cancer. With this removal of the larynx, also the vocal cords are removed, and consequently the natural voice is lost. During a total laryngectomy, caudally, the larynx is separated from the trachea and t...

The aim of this crossectional study was to investigate the relationship between pepsin concentration in saliva and the occurrence of tracheoesophageal fistula (TEF) complications and voice prosthesis (VP) complications, after total laryngectomy and VP implantation. We assessed the concentrations of pepsin in the saliva of 41 laryngectomized patients and correlated it with the incidence of TEF c...

The voice is produced by the vibration of vocal cords which are located in the larynx. Therefore, one of the major consequences for patients subjected to laryngectomy is losing their voice. In these cases, a synthetic one-way valve set (voice prosthesis) can be implanted in order to allow restoration of speech. Most voice prostheses are produced with silicone-based materials such as polydimethy...

rehabilitation of facial defects is a complex task, requiring an individualized design of the technique for each patient. the disfigurement associated with the loss of an eye may result in significant physical and emotional problems. various treatment modalities are available, one of which is the use of implants. although implant-supported orbital prosthesis has a superior outcome, it may not b...

BACKGROUND The aim of this study has been to assess the larynx and soft tissue around the vocal tract in a group of people with healthy voice, and in a group of patients with occupational dysphonia using the new laryngeal manual therapy palpatory evaluation scale (LMTPE). MATERIAL AND METHODS The examinations were performed in a study (dysphonic) group of professional voice users who had deve...

OBJECTIVE This study focuses on the relation of smoking, carcinophobia and voice handicap in dysphonic patients. PATIENTS AND METHODS Fifty-four German-speaking outpatient voice clinic attendees suffering from dysphonia of benign origin took part in this study. All patients completed the German version of the Voice Handicap Index (VHI) and were asked about their fear of suffering from larynge...