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September 1990

Tracheostoma Diverticulum Following Tracheoesophageal Puncture

Author Affiliations

From the Division of Otolaryngology, University of California, San Diego (Dr Hoffman), and the Department of Otolaryngology, University of Michigan, Ann Arbor (Dr Baker). Dr Hoffman is now with the Department of Otolaryngology, University of Iowa Hospitals, Iowa City.

Arch Otolaryngol Head Neck Surg. 1990;116(9):1074-1076. doi:10.1001/archotol.1990.01870090090015

• Although the initial reports of tracheoesophageal puncture after total laryngectomy reported little to no morbidity, subsequent studies with longer follow-up have reported a significant number of complications. We present the first reported case (to our knowledge) of prolapse of the posterior tracheal wall with diverticulum formation developing 6 years after continuous use of tracheoesophageal puncture speech. Preoperative assessment with a barium esophagogram and rigid esophagoscopy aided in the successful surgical treatment of this disorder. The pathogenesis of this complication and method of repair are discussed.

(Arch Otolaryngol Head Neck Surg. 1990;116:1074-1076)

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