RESUMO
Tracheoesophageal puncture (TEP) followed by voice prosthesis placement stands as the primary method for voice rehabilitation after laryngectomy, heralded for its effectiveness. While generally well-tolerated, the procedure does pose potential long-term complications. These include prosthesis valve leakage, scarring, and prosthesis displacement, all of which can impede phonation capabilities. Of these, prosthesis leakage emerges as the most critical concern, precipitated by the progressive widening of the fistula. This complication can precipitate aspiration pneumonitis, stemming from the loss of physical separation between the esophagus and trachea. This case series details three instances where persistent tracheoesophageal fistula arose following TEP, necessitating surgical intervention. Herein, we present the clinical manifestations, surgical approach employing a simple two-layer closure, and ensuing outcomes.
RESUMO
Laryngo-tracheo-bronchial tuberculosis may be primary or secondary to pulmonary tuberculosis. It causes stenosis of the airway, leading to life threatening airway obstruction. We herein describe the challenges in managing a case of laryngo-tracheo-bronchial stenosis in a 22-year-old patient who presented with stridor post antituberculous therapy secondary to a malacic airway.
RESUMO
Injection laryngoplasty (IL) with hyaluronic acid (HA) for the treatment of glottic insufficiency has been reported as a safe procedure with low complication rates. The side effects usually present as acute dyspnea, dysphonia, or dysphagia due to local edema, hematoma, or hypersensitivity reactions. These complications commonly resolve with minimal intervention. In the present case, we present an asymptomatic case of a subchordal cyst (SC) in a 30-year-old female after office-based injection laryngoplasty using hyaluronic acid. To the best of our knowledge, this is the first reported case of a subchordal cyst following injection laryngoplasty.