Birk S, Michaeli P, Kapsreiter M, Alexiou C
Hals-Nasen-Ohren-Klinik, Kopf- und Halschirurgie, Universität Erlangen-Nürnberg, 91054 Erlangen.
HNO. 2009 Nov;57(11):1126-30. doi: 10.1007/s00106-009-1928-x.
Tracheoesophageal voice prostheses after total laryngectomy are infrequently the cause of severe complications. We report on a patient with threefold dislocation of a Provox prosthesis, each with suspected oesophageal loss. The patient came to our hospital with acute dyspnoea. An urgent bronchoscopy showed two prostheses in the right and one in the left main bronchus, which had caused inflammation with extensive occlusion of the bronchus. All three prostheses could be recovered.
全喉切除术后气管食管语音假体很少引起严重并发症。我们报告一例患者,其Provox假体出现三次脱位,每次均怀疑有食管丢失。该患者因急性呼吸困难前来我院。紧急支气管镜检查显示右主支气管有两个假体,左主支气管有一个假体,这些假体已引起炎症并导致支气管广泛阻塞。所有三个假体均被取出。