Hypertrophic Scarring of Tracheoesophageal Fistula Causing Vocal Failure

Managing problems with tracheoesophageal puncture for alaryngeal voice rehabilitation

“…23 Granulation tissue can form around the orifice of the fistula in reaction to the foreign body. 6,10,24 The problems observed in our patients were similar to those described elsewhere in the literature; however, no severe problems were caused by the oesophagoscopic instruments. The onset of problems did not necessarily mean abandoning the prosthesis, and sufficiently motivated patients proved able to overcome most of these problems.…”