A report of four cases of acute mediastinitis occurring following tracheoesophageal puncture in laryngectomees.

Basit Öğe Kaydı
dc.authorscopusid6602540278
dc.authorscopusid6603956791
dc.authorscopusid6602977375
dc.authorscopusid6603761706
dc.authorscopusid7003373872
dc.authorscopusid6603670254
dc.contributor.authorKalcioglu M.T.
dc.contributor.authorKizilay A.
dc.contributor.authorSaydam L.
dc.contributor.authorSoysal O.
dc.contributor.authorOzturan O.
dc.contributor.authorKuzucu A.
dc.date.accessioned2024-08-04T20:01:08Z
dc.date.available2024-08-04T20:01:08Z
dc.date.issued2004
dc.departmentİnönü Üniversitesien_US
dc.description.abstractTracheoesophageal puncture is a simple procedure for speech rehabilitation of total laryngectomy patients. Despite its relative simplicity this is not an innocent technique without complications. The goal of this study was to determine the incidence of acute mediastinitis as an early postoperative complication related to this procedure and to present outcomes of non-surgical conservative management in this complication. Blom-Singer voice prosthesis was used for 51 secondary tracheoesophageal puncture procedures in 45 patients between 1994 and 2002 according to the technique described by Blom and Singer. In the postoperative period, four patients (7.8%) developed mediastinitis related to this procedure. Of these, one patient had iatrogenic perforation of the posterior esophageal wall. A false dissection plane occurred in the tracheo-esophageal party wall in three patients which subsequently resulted in mediastinitis. Mediastinitis was diagnosed by clinical and radiological findings. All of these patients required prolonged hospitalization, intravenous antibiotics, and chest tube insertion. Only one patient underwent major surgical procedure to treat this complication. In conclusion, tracheoesophageal puncture for voice restoration is now regarded as a routine procedure usually performed in outpatient conditions. However, our experience demonstrates that this technique may be associated with significant complications such as mediastinitis. If mediastinitis is recognised earlier, it may be treated with conservative measures in most of the cases.en_US
dc.identifier.endpage34en_US
dc.identifier.issn1300-7475
dc.identifier.issue1-2en_US
dc.identifier.pmid16027490en_US
dc.identifier.scopus2-s2.0-24144450005en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage31en_US
dc.identifier.urihttps://hdl.handle.net/11616/91282
dc.identifier.volume13en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofKulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throaten_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectadulten_US
dc.subjectarticleen_US
dc.subjectcase reporten_US
dc.subjectcomputer assisted tomographyen_US
dc.subjectdifferential diagnosisen_US
dc.subjectesophagusen_US
dc.subjectfemaleen_US
dc.subjecthumanen_US
dc.subjectlaryngectomyen_US
dc.subjectmaleen_US
dc.subjectmediastinitisen_US
dc.subjectmiddle ageden_US
dc.subjectpostoperative complicationen_US
dc.subjectpunctureen_US
dc.subjectradiographyen_US
dc.subjecttracheaen_US
dc.subjectAdulten_US
dc.subjectDiagnosis, Differentialen_US
dc.subjectEsophagusen_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectLaryngectomyen_US
dc.subjectMaleen_US
dc.subjectMediastinitisen_US
dc.subjectMiddle Ageden_US
dc.subjectPostoperative Complicationsen_US
dc.subjectPuncturesen_US
dc.subjectTomography, X-Ray Computeden_US
dc.subjectTracheaen_US
dc.titleA report of four cases of acute mediastinitis occurring following tracheoesophageal puncture in laryngectomees.en_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu