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Viscoaugmentation as a treatment for leakage around the Provox® 2 voice rehabilitation system

Published online by Cambridge University Press:  29 June 2007

D. A. Luff*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Manchester Royal Infirmary, Manchester, UK.
S. Izzat
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Manchester Royal Infirmary, Manchester, UK.
W. T. Farrington
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Manchester Royal Infirmary, Manchester, UK.
*
Address for correspondence: Mr D. A. Luff, F.R.C.S., Department of Otolaryngology – Head and Neck Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL.

Abstract

Tracheo-oesophageal puncture for voice restoration is a well-established technique post-laryngectomy. A number of complications can occur with the creation of a tracheo-oesophageal fistula (TOF) and in the subsequent management of the patient with an indwelling voice rehabilitation system.

This article is the first to report the use of Hylaform®, a colourless viscoelastic gel, to treat an intractable case of leakage around a Provox® 2 voice prosthesis. The procedure which required no anaesthesia resulted in no further leak around the valve to the present day, now more than four weeks post-viscoaugmentation.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

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