caa a22 4500 606184767 CHVBK 20210128105227.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00405-014-3393-8 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3393-8 Lorenz Kai Department of Otolaryngology/Head and Neck Surgery, German Armed Forces Hospital, Oberer Eselsberg 40, 89081, Ulm, Germany aut The development and treatment of periprosthetic leakage after prosthetic voice restoration: a literature review and personal experience. Part II: conservative and surgical management [Elektronische Daten] [Kai Lorenz] In the past 30years, the use of voice prostheses has become the gold standard for voice rehabilitation after total laryngectomy. The placement of a voice prosthesis is a simple procedure that is associated with only a minor increase in operating time and a low rate of complications. Most problems with voice prostheses are minor and can be easily managed. Enlargement of the tracheo-oesophageal fistula, however, can be a severe complication. Approximately 25% of all patients with voice prostheses develop periprosthetic leakage with aspiration within 1-4years after the placement of a voice prosthesis. Depending on the severity of fistula enlargement, treatment ranges from conservative approaches to maximally invasive procedures. In some cases, however, these measures prove unsuccessful. The causes of treatment failure and fistula enlargement are not yet fully understood. Apart from a discussion of treatment options, an algorithm for the management of this complication is presented on the basis of the literature and the experience that we have accumulated at our institution during the past 20years in the treatment of 232 laryngectomised patients. Springer-Verlag Berlin Heidelberg, 2014 Voice prosthesis nationallicence Voice rehabilitation nationallicence Laryngectomy nationallicence Management of complications nationallicence Periprosthetic leakage nationallicence Laryngeal carcinoma nationallicence European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/3(2015-03-01), 661-672 0937-4477 272:3<661 2015 272 405 https://doi.org/10.1007/s00405-014-3393-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3393-8 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Lorenz Kai Department of Otolaryngology/Head and Neck Surgery, German Armed Forces Hospital, Oberer Eselsberg 40, 89081, Ulm, Germany aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/3(2015-03-01), 661-672 0937-4477 272:3<661 2015 272 405 SWISSBIB 606184767