Tracheobronchial foreign body aspiration in laryngectomized patient with tracheoesophageal voice prosthesis

Chorney, Michael A; Dubin, Randy; Levine, Marc S.

doi:10.1016/j.clinimag.2018.03.012

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…An esophogram demonstrated the presence of a radiopaque foreign body in the right lower lung. The thoracic surgery team was able to remove this with flexible bronchoscopy leading to immediate relief of symptoms [ 8 ]. Therefore, the method described in this paper has previously been useful for removal of other airway foreign bodies in the laryngectomy patient.…”

Section: Discussionmentioning

confidence: 99%

Assessment and Retrieval of Aspirated Tracheoesophageal Prosthesis in the Ambulatory Setting

Dewan

Erman

Long

et al. 2018

Case Reports in Otolaryngology

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Tracheoesophageal prosthesis (TEP) is the most common voice restoration method following total laryngectomy. Prosthesis extrusion and aspiration occurs in 3.9% to 6.7% and causes dyspnea. Emergency centers are unfamiliar with management of the aspirated TEP. Prior studies report removal of aspirated TEP prostheses under general anesthesia. Laryngectomees commonly have poor pulmonary function, posing increased risks for complications of general anesthesia. We present a straightforward approach to three cases of aspirated TEP prosthesis removed in the ambulatory setting. In each case, aspirated TEP was diagnosed with flexible bronchoscopy under local anesthesia at the time of consultation, and all prostheses were retrieved atraumatically using a biopsy grasper forceps inserted via the side channel of the bronchoscope. The aspirated TEP prosthesis can be safely and efficiently removed via bedside bronchoscopy.

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Section: Discussionmentioning

confidence: 99%

Assessment and Retrieval of Aspirated Tracheoesophageal Prosthesis in the Ambulatory Setting

Dewan

Erman

Long

et al. 2018

Case Reports in Otolaryngology

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“…This case illustrates that gastroenterologists should recognize these devices, their function and particularly their endoscopic appearance to prevent unnecessary complications. [1][2][3]…”

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confidence: 99%

Think Twice Before Extracting a Harmless Foreign Body From the Upper Esophagus

2020

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An 86-year-old man with a past medical history of squamous cell carcinoma of the larynx and total laryngectomy with tracheostomy presented for evaluation of severe iron deficiency anemia (hemoglobin of 6.4 g/dL). Our patient had no upper gastrointestinal symptoms and underwent upper endoscopy. Upon slowly endoscopic withdrawal, a foreign body in the upper esophagus was visualized. This looked like the bumper from a conventional percutaneous endoscopic gastrostomy (Figure A). Careful investigation of the patients' medical records revealed that 2 years ago, in March 2017, owing to odynophagia, he also underwent a gastroscopy with similar findings (Figure B). Moreover, he underwent a video-swallow study that demonstrated a normal swallowing mechanism without evidence of pooling of contrast or aspiration. In November 2018, the patient had a cervical and chest computed tomography san with no metastasis (Figure C, D). Correlating these clinical, endoscopic and radiological findings with the patient's history and background what is the diagnosis of the esophageal foreign body? See the Gastroenterology web site (www.gastrojournal.org) for more information on submitting your favorite image to Clinical Challenges and Images in GI.

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Measurement of Formant Frequency in /hVd/ Words of Distorted Speech in Adult New Zealanders

Sabaee

Sharifzadeh

Ardekani

et al. 2021

2021 IEEE Region 10 Symposium (TENSYMP)

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Tracheobronchial foreign body aspiration in laryngectomized patient with tracheoesophageal voice prosthesis

Cited by 5 publications

References 9 publications

Assessment and Retrieval of Aspirated Tracheoesophageal Prosthesis in the Ambulatory Setting

Assessment and Retrieval of Aspirated Tracheoesophageal Prosthesis in the Ambulatory Setting

Think Twice Before Extracting a Harmless Foreign Body From the Upper Esophagus

Measurement of Formant Frequency in /hVd/ Words of Distorted Speech in Adult New Zealanders

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