Abstract
As a consequences of laryngectomy, patients possess a tracheostoma presenting on the neck skin which is an intrinsic component of their airway and which provides a portal through which potentially dangerous foreign bodies can enter the tracheobronchial tree. In addition, new methods of speech rehabilitation require the placement of a valve within the stoma which needs regular cleaning and manipulation. We report 3 cases of aspiration, each of a different piece of equipment that is commonly associated with laryngectomees, illustrating potential unique risks to the airway in such individuals.
Key Words: laryngectomy, foreign bodies, voice prosthesis
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References
- 1.Bhargava S.K., Bhat N., Bhargava K.B. Broken tracheostomy introducer - an unusual tracheobronchial foreign body. Journal of Laryngology & otology. 1993;107:463–464. doi: 10.1017/s0022215100123461. [DOI] [PubMed] [Google Scholar]
- 2.Dempster J.H., Doig J.A. Stoma buttons - an unreported hazard. Journal Of Laryngology and Otology. 1988;102:556–557. doi: 10.1017/s0022215100105663. [DOI] [PubMed] [Google Scholar]
- 3.Denholm S.W., Goodwin H.A. Aspiration of foreign bodies. Hospital Update. 1995;21:562–564. [Google Scholar]
- 4.Finkelstein D.M., Noyek A.M., Freidberg J., Goldberg M. Inhalation of a safety pin by a Jaryngeetomized patient: a case report. The Journal of Otolaryngology. 1989;18:189–192. [PubMed] [Google Scholar]
- 5.Hilgers F.J.M., Sehouwenburg P.F. A new low-resistance, self-retaining prosthesis (ProvoxTM) for voice rehabilitation after total laryngectomy. Laryngoscope. 1990;100:1202–1207. doi: 10.1288/00005537-199011000-00014. [DOI] [PubMed] [Google Scholar]
- 6.Linegar A.G., von-opell U.O., Hegemann S., et al. Tracheobronehial foreign bodies. Experience at the Red Cross Children’s Hospitals 1985–1990. South African Medical Journal. 1992;82:164–167. [PubMed] [Google Scholar]
