caa a22 4500 606184775 CHVBK 20210128105227.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00405-014-3394-7 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3394-7 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 I: the development of periprosthetic leakage [Elektronische Daten] [Kai Lorenz] In the past 30years, the use of a voice prosthesis has become the treatment of choice for the restoration of speech following laryngectomy. Not only is the placement of a voice prosthesis a simple surgical procedure, but it is also associated with a low rate of complications and an excellent success rate. Approximately, 20-30% of all patients with voice prostheses, however, develop periprosthetic leakage with aspiration over time. Periprosthetic leakage is usually caused by an enlargement of the tracheo-oesophageal fistula and substantially affects the quality of life of the patients concerned. In a retrospective analysis of our patients, the incidence of periprosthetic leakage was 35.7% in a total of 232 patients who underwent laryngectomy during a period of 20years. Substantial enlargement of the tracheo-oesophageal fistula which required multiple treatments occurred in 12.5% of the patients. In this review, the various causes of fistula enlargement are discussed on the basis of the literature and the experience that we have accumulated during the past 20years in the management of patients with voice prostheses. Springer-Verlag Berlin Heidelberg, 2014 Voice prosthesis nationallicence Voice rehabilitation nationallicence Laryngectomy nationallicence Management of complications nationallicence Laryngeal carcinoma nationallicence European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/3(2015-03-01), 641-659 0937-4477 272:3<641 2015 272 405 https://doi.org/10.1007/s00405-014-3394-7 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/s00405-014-3394-7 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), 641-659 0937-4477 272:3<641 2015 272 405 SWISSBIB 606184767