Masaany M, Marina M B, Asma A, Sani A
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
J Laryngol Otol. 2009 Jun;123(6):680-2. doi: 10.1017/S0022215108002958. Epub 2008 Jun 10.
To demonstrate a simple, practical, cheap method of preventing potentially fatal aspiration of a dislodged voice prosthesis; this method was developed by a laryngectomised patient.
A patient diagnosed with squamous cell carcinoma of the larynx underwent total laryngectomy. Upon completion of radiotherapy, a tracheoesophageal fistula was created and a voice prosthesis inserted to enable voice restoration. Unfortunately, the patient presented subsequently with repeated episodes of dislodgement and an episode of potentially fatal aspiration of the voice prosthesis, despite various measures taken by the surgeons to overcome the problem. The patient subsequently developed a method enabling him to retrieve the voice prosthesis himself should it become dislodged. He attached a ring to the prosthesis, which was larger in diameter than the tracheal stoma, thus preventing ingestion or recurrence of aspiration.
To our knowledge, this is the first report in the world literature of this form of innovation, created by a laryngectomised patient, to overcome the problem of aspiration or ingestion of a dislodged voice prosthesis.
展示一种简单、实用且廉价的方法，以防止脱落的发音假体发生可能致命的误吸；该方法由一位喉切除患者研发。
一名被诊断为喉鳞状细胞癌的患者接受了全喉切除术。放疗结束后，建立了气管食管瘘并插入发音假体以恢复发声。不幸的是，尽管外科医生采取了各种措施来解决这个问题，但患者随后仍反复出现假体脱落的情况，并有一次发生了可能致命的发音假体误吸。该患者随后研发出一种方法，使他能够在发音假体脱落后自行找回。他在假体上系了一个直径比气管造口大的环，从而防止假体被误吞或再次发生误吸。
据我们所知，这是世界文献中首次报道由喉切除患者创造的这种创新形式，用于解决脱落的发音假体误吸或误吞的问题。
