Unsal Ozlem, Akpinar Meltem, Turk Bilge, Rifki Didem, Uslu Coskun Berna
Clinic of Otolaryngology, Head and Neck Surgery, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
ORL J Otorhinolaryngol Relat Spec. 2015;77(5):268-72. doi: 10.1159/000431231. Epub 2015 Aug 29.
Tracheoesophageal puncture enlargement in laryngectomized patients is a significant problem due to complications such as aspiration pneumonia. There are several management methods including conservative and nonconservative techniques. A total closure of the enlarged tracheoesophageal puncture is needed in some cases when conservative approaches have failed. At this point, the insertion of a silicone septal button in the puncture site is a useful, inexpensive, and simple technique. The follow-up of 4 patients managed with this technique revealed satisfactory long-term results.
对于喉切除患者而言，气管食管穿刺口扩大是一个严重问题，因为会引发诸如吸入性肺炎等并发症。有多种处理方法，包括保守和非保守技术。在某些保守方法失败的情况下，有时需要完全封闭扩大的气管食管穿刺口。此时，在穿刺部位插入硅胶间隔钮是一种有用、廉价且简单的技术。对采用该技术治疗的4例患者进行随访，结果显示长期效果令人满意。
