Mutlu Ahmet, Dasli Sinem, Ozturk Murat, Topdag Murat
*Department of Otolaryngology, Kocaeli University Faculty of Medicine†Department of Otolaryngology, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey.
J Craniofac Surg. 2016 Nov;27(8):2149-2150. doi: 10.1097/SCS.0000000000003045.
Tracheosephageal puncture is the one of the most favorable methods, and widely used by physicians for voice reconstruction after total laryngectomy. Intractable leakages from the tracheosephageal punctures are the most common complication, and management of these fistulas is still troublesome for the patients and physicians. Local surgical sutures, rotational flaps, injections are reported previously, but in this report the authors aimed to mention on a very simple method with silicone septal button. Insertion of a temporary silicone septal button may be well tolerated by patients and can help to manage this complication easily on exact indications. The authors discussed indications and long-term results of this method with different patients.
气管食管穿刺是最有利的方法之一，被医生广泛用于全喉切除术后的语音重建。气管食管穿刺处难以处理的渗漏是最常见的并发症，对患者和医生来说，处理这些瘘管仍然很麻烦。此前有局部手术缝合、旋转皮瓣、注射等报道，但在本报告中，作者旨在提及一种使用硅胶鼻中隔纽扣的非常简单的方法。插入临时硅胶鼻中隔纽扣可能很容易被患者耐受，并有助于在确切适应症下轻松处理这一并发症。作者讨论了该方法对不同患者的适应症和长期效果。
