Injection of porcine dermal collagen paste for leaking tracheoesophageal speech fistula

Voice rehabilitation following laryngectomy often utilizes speech valves, where a valve is placed in a surgically created tracheoesophageal fistula. The most significant complication of this procedure being leakage around the speaking tube through a widened puncture site. Ultimately, surgical closur...

Full description

Bibliographic Details
Main Authors: John Plangkat Yaro, Judd Owen, Jeremy F. Sharp
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Otolaryngology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468548823000218
Description
Summary:Voice rehabilitation following laryngectomy often utilizes speech valves, where a valve is placed in a surgically created tracheoesophageal fistula. The most significant complication of this procedure being leakage around the speaking tube through a widened puncture site. Ultimately, surgical closure of a problematic fistula may be required, and three-layer closure techniques are the most widely recognized.We would like to report a novel technique of injection repair of a leaking fistula using a porcine dermal collagen paste. This injection technique prevents leakage by bulking the tissue surrounding the valve and thus narrowing or tightening the fistula.
ISSN:2468-5488