Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-25T21:29:15.572Z Has data issue: false hasContentIssue false

An unusual complication following tracheoesophageal puncture for alaryngeal voice restoration

Published online by Cambridge University Press:  29 June 2007

U. Hadi
Affiliation:
(Beirut, Lebanon)
N. S. Nuwayhid*
Affiliation:
(Beirut, Lebanon)
*
N. S. Nuwayhid, M.D., F.A.C.S., American University of Beirut Medical Center, P.O. Box 113-6044, Beirut, Lebanon.

Abstract

Abstract A laryngectomized patient who developed massive subcutaneous emphysema, pneumothorax, pneumomediastinum, and esophageal fistual with a retroesophageal collection following the creation of a tracheo-esophageal fistuls for alaryngeal voice restoration is presented, together with its management. A review of the literature is made, and possible causes of the three complications are discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1987

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Asai, R. (1960) Laryngoplasty. Journal of the Japanese Broncho-Esophagological Society, 12: 13.Google Scholar
Barrie, H. J. (1940) Interstitial emphysema and pneu-mothorax after operations on neck. Lancet, 1: 996998.CrossRefGoogle Scholar
Bowden, L. and Schweizer, O. (1950) Pneumothorax and mediastinal emphysema complicating neck surgery. Surgery, Gynecology and Obstetrics, 91: 8188.Google ScholarPubMed
Conley, J. J., De Amesti, F. and Pierce, M. K. (1958) A new-surgical technique for the vocal rehabilitation of the laryngectomized patient. Annals of Otology, Rhinology and Laryngology, 67: 635664.CrossRefGoogle ScholarPubMed
Donegan, J. O., Gluckman, J. L. and Singh, J. (1981) Limitation of the Blom-Singer technique for voice restoration. Annals of Otology, Rhinology and Laryngology, 90: 495497.CrossRefGoogle ScholarPubMed
Forbes, G. B., Salmon, G. W. and Herwig, J. C. (1947) Further observations on post tracheotomy mediastinal emphysema and pneumothorax. Journal of Pediatrics, 31: 172–164.CrossRefGoogle ScholarPubMed
Goldberg, J. D., Mitchell, N. and Angrist, A. (1942) Mediastinal emphysema and pneumothorax following tracheotomy for croup. American Journal of Surgery, 56: 448452.CrossRefGoogle Scholar
Macklin, M. T. and Macklin, C. C. (1944) Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: An interpretation of the clinical literature in the light of laboratory experiment. Medicine, 23: 281.CrossRefGoogle Scholar
Madan, S. C., Rosenthal, S. P. and Bochetto, J. F. (1964) Pneumomediastinum and pneumothorax following lower neck surgery. Archives of Surgery, 98: 153159.CrossRefGoogle Scholar
Ogura, J. H., Shumrick, D. A. and Lapidot, A. (1962) Some observations in experimental laryngeal substitution in laryngectomized dogs. Annals of Otology, Rhinology and Laryngology, 71: 532.CrossRefGoogle ScholarPubMed
Padovan, I. R., Henschel, E. O. and Lehman, R. H. (1974) Pathogenesis of mediastinal emphysema and pneumothorax following tracheotomy. Chest, 66: 553.CrossRefGoogle ScholarPubMed
Panje, W. R. (1981) Prosthetie vocal rehabilitation following total laryngectomy; The voice button. Annals of Otology, Rhinology and Laryngology, 90: 116120.CrossRefGoogle Scholar
Panje, W. R., Van Dermark, D. and McCabe, B. F. (1981) Voice-button prosthesis. Rehabilitation of the laryngectomee. Additional notes. Annals of Otology, Rhinology and Laryngology, 90: 503505.CrossRefGoogle ScholarPubMed
Sheed, D. P., Schaag, N. G. and Kielich, M. (1976) A prosthetic device for air tunnel speech rehabilitation. Journal of Prosthetic Dentistry, 36: 8287.CrossRefGoogle Scholar
Singer, M. I. and Blom, E. D. (1980) An endoscopic technique for restoration of voice after laryngectomy. Annals of Otology, Rhinology and Laryngology, 89: 529533.CrossRefGoogle ScholarPubMed
Singer, M. I., Blom, E. D. and Hamaker, R. C. (1981) Further experience with voice restoration after total laryngectomy. Annals of Otology, Rhinology and Laryngology, 90: 498502.CrossRefGoogle ScholarPubMed
Sisson, G. A. and Goldman, M. E. (1980) Pseudoglot-tis procedure: Update and secondary reconstruction technique. Laryngoscope, 90: 11201129.CrossRefGoogle Scholar
Sisson, G., Bytell, D. E., Becker, S. P., McConnel, F. M. S. and Singer, M. I. (1978) Total laryngectomy and reconstruction of a pseudoglottis. Problems and complications. Laryngoscope, 88: 639647.CrossRefGoogle ScholarPubMed
Taub, S. and Spiro, R. H. (1972) Vocal rehabilitation of laryngectomees, preliminary report of a new technique. American Journal of Surgery, 124: 8790.CrossRefGoogle Scholar
Wood, G. B., Tucker, H. M., Rusnov, M. G. and Levine, H. L. (1981) Tracheo-esophageal, puncture for alaryngeal voice restoration. Annals of Otology, Rhinology and Laryngology, 90: 492494.CrossRefGoogle ScholarPubMed