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Mediastinal abscess and esophageal stricture following voice prosthesis insertion

Bozzo, Corrado and Meloni, Francesco and Trignano, Mario and Profili, Stefano (2014) Mediastinal abscess and esophageal stricture following voice prosthesis insertion. Auris Nasus Larynx, Vol. 41 (2), p. 229-233. ISSN 0385-8146. Article.

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DOI: 10.1016/j.anl.2013.07.017

Abstract

The use of a tracheo-esophageal voice prosthesis is a well-established procedure to restore the voice in total laryngectomees. The insertion of the prosthesis is not a risk-free procedure, various complications having been reported especially in irradiated patients. Here described is a case of an esophageal rupture after secondary tracheo-esophageal puncture with mediastinal abscess in a patient previously treated with pharyngo-laryngectomy and subsequent radiotherapy for a left pyriform sinus carcinoma, which required immediate surgical drainage through a left cervical approach. Few weeks after surgical drainage an esophageal stricture at the site of the rupture developed, which was only temporarily resolved after the insertion of biodegradable esophageal stents, followed by re-stenosis once the reabsorption of the stent took place.

Item Type:Article
ID Code:10285
Status:Published
Refereed:Yes
Uncontrolled Keywords:Voice prosthesis, tracheo-esophageal puncture, mediastinal abscess, esophageal stent
Subjects:Area 06 - Scienze mediche > MED/31 Otorinolaringoiatria
Area 06 - Scienze mediche > MED/36 Diagnostica per immagini e radioterapia
Area 06 - Scienze mediche > MED/18 Chirurgia generale
Divisions:002 Altri enti e centri di ricerca del Nord Sardegna > Azienda ASL1, Sassari > Ospedale civile SS. Annunziata
001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Chirurgiche, Microchirurgiche e Mediche
Publisher:Elsevier Ireland
ISSN:0385-8146
Deposited On:12 Nov 2014 08:20

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