Provox를 삽입한 환자에서 발생한 인공발성관 주위 유출을 필러주입술로 교정한 증례
Treatment of an Enlarged Periprosthetic Leakage Using Filler Injection in Patients With Provox Prosthesis: A Case Report
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Recently, the most commonly used method for voice rehabilitation in total laryngectomy patients is to maintain tracheoesophageal shunt speech after inserting a voice prosthesis. One of the most common side effects, besides valve deterioration, is periprosthetic leakage due to dilatation of the tracheoesophageal shunt. Tissue implantation may be considered as one of the conservative treatments before attempting surgical treatment. When tissue implantation is attempted more than once, the treatment success rate is close to 90%. The authors experienced a case in which an 86-year-old patient developed aspiration pneumonia due to periprosthetic leakage. The patient refused surgical treatment. He was treated successfully for injecting hyaluronic acid filler 3 times and has been without a leakage for 9 months. This procedure can be considered as an alternative method to treat periprosthetic leakage.
Abstract
Recently, the most commonly used method for voice rehabilitation in total laryngectomy patients is to maintain tracheoesophageal shunt speech after inserting a voice prosthesis. One of the most common side effects, besides valve deterioration, is periprosthetic leakage due to dilatation of the tracheoesophageal shunt. Tissue implantation may be considered as one of the conservative treatments before attempting surgical treatment. When tissue implantation is attempted more than once, the treatment success rate is close to 90%. The authors experienced a case in which an 86-year-old patient developed aspiration pneumonia due to periprosthetic leakage. The patient refused surgical treatment. He was treated successfully for injecting hyaluronic acid filler 3 times and has been without a leakage for 9 months. This procedure can be considered as an alternative method to treat periprosthetic leakage.
참고문헌 (10)
- van Sluis KE, "Objective and subjective voice outcomes after total laryngectomy : a systematic review", Eur Arch Otorhinolaryngol, 275(1), pp.11~26 (2018)
- Lee HK, "Imaging and acoustic study of laryngectomees after the Amatsu tracheoesophageal shunt operation", Korean J Otorhinolaryngol-Head Neck Surg, 43(9), pp.978~984 (2000)
- Mayo-Yáñez M, "Use of double flange voice prosthesis for periprosthetic leakage in laryngectomised patients : a prospective case-crossover study", Clin Otolaryngol, 45(3), pp.389~393 (2020)
- Petersen JF, "Postlaryngectomy prosthetic voice rehabilitation outcomes in a consecutive cohort of 232 patients over a 13-year period", Head Neck, 41(3), pp.623~631 (2019)
- Lorenz KJ, "The development and treatment of periprosthetic leakage after prosthetic voice restoration. A literature review and personal experience part I : the development of periprosthetic leakage", Eur Arch Otorhinolaryngol, 272(3), pp.641~659 (2015)
- Lorenz KJ, "The development and treatment of periprosthetic leakage after prosthetic voice restoration : a literature review and personal experience. Part II : conservative and surgical management", Eur Arch Otorhinolaryngol, 272(3), pp.661~672 (2015)
- Op de Coul BM, "A decade of postlaryngectomy vocal rehabilitation in 318patients : a single Institution’s experience with consistent application of provox indwelling voice prostheses", Arch Otolaryngol Head Neck Surg, 126(11), pp.1320~1328 (2000)
- Brosens E, "Histological, immunohistochemical and transcriptomic characterization of human tracheoesophageal fistulas", PLoS One, 15(11), pp.e0242167~ (2020)
- Kagalwalla AF, "Eosinophilic esophagitis : epithelial mesenchymal transition contributes to esophageal remodeling and reverses with treatment", J Allergy Clin Immunol, 129(5), pp.1387~1396 (2012)[DOI]
- "Laryngorhinootologie", 2006, 556~558, German