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August 1989

Complications of Primary Tracheoesophageal Fistula Following Total Laryngectomy

Author Affiliations

Charlottesville, Va

Arch Otolaryngol Head Neck Surg. 1989;115(8):906. doi:10.1001/archotol.1989.01860320016010

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At the recent spring meeting of the American Broncho-esophagological Association in San Francisco, Calif, Drs Dwight Jones, Frederick Ogren, and Warren Stiles, Omaha, Neb, presented a review of 38 patients who underwent total laryngectomy with and without neck dissections between July 1985 and July 1988 at the University of Nebraska Medical Center Hospital, Omaha, and the Omaha (Neb) Veterans Administration Hospital. Twenty-three of these patients had a primary tracheoesophageal fistula performed at the time of surgery, but these were performed for feeding purposes, and not for voice prosthesis. Because of the persistence of the fistula after the patient's recovery, it was then thought that they could be fitted with a Singer-Blom prosthesis. Although 12 patients initially had success with the device, only one was still using this duckbill prosthesis at the time of presentation. What is important in this study is that none of the patients were seen ahead of

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