Prevention of aspiration following recurrent dislodgement of voice prosthesis: A patient's innovation

M. Masaany, Marina Mat Baki, Asma Abdullah, Abdullah Sani Mohamed

Research output: Contribution to journalArticle

Abstract

Objective: To demonstrate a simple, practical, cheap method of preventing potentially fatal aspiration of a dislodged voice prosthesis; this method was developed by a laryngectomised patient. Case report: A patient diagnosed with squamous cell carcinoma of the larynx underwent total laryngectomy. Upon completion of radiotherapy, a tracheoesophageal fistula was created and a voice prosthesis inserted to enable voice restoration. Unfortunately, the patient presented subsequently with repeated episodes of dislodgement and an episode of potentially fatal aspiration of the voice prosthesis, despite various measures taken by the surgeons to overcome the problem. The patient subsequently developed a method enabling him to retrieve the voice prosthesis himself should it become dislodged. He attached a ring to the prosthesis, which was larger in diameter than the tracheal stoma, thus preventing ingestion or recurrence of aspiration. Conclusion: To our knowledge, this is the first report in the world literature of this form of innovation, created by a laryngectomised patient, to overcome the problem of aspiration or ingestion of a dislodged voice prosthesis.

Original languageEnglish
Pages (from-to)680-682
Number of pages3
JournalJournal of Laryngology and Otology
Volume123
Issue number6
DOIs
Publication statusPublished - Jun 2009

Fingerprint

Artificial Larynges
Eating
Tracheoesophageal Fistula
Laryngectomy
Larynx
Prostheses and Implants
Squamous Cell Carcinoma
Radiotherapy
Recurrence

Keywords

  • Aspiration
  • Laryngectomy
  • Tracheoesophageal speech
  • Voice prosthesis

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Prevention of aspiration following recurrent dislodgement of voice prosthesis : A patient's innovation. / Masaany, M.; Mat Baki, Marina; Abdullah, Asma; Mohamed, Abdullah Sani.

In: Journal of Laryngology and Otology, Vol. 123, No. 6, 06.2009, p. 680-682.

Research output: Contribution to journalArticle

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