Experimental results of the tracheoesophageal tissue connector for improved fixation of shunt valves in laryngectomized patients

E. J. Olivier ten Hallers; Henri A. M. Marres; Eduard B. van der Houwen; John A. Jansen; Gerhard Rakhorst; Harm K. Schutte; Theo G. van Kooten; Jan-Paul van Loon; Gijsbertus J. Verkerke

doi:10.1002/hed.20451

Experimental results of the tracheoesophageal tissue connector for improved fixation of shunt valves in laryngectomized patients

E. J. Olivier ten Hallers^*, Henri A. M. Marres, Eduard B. van der Houwen, John A. Jansen, Gerhard Rakhorst, Harm K. Schutte, Theo G. van Kooten, Jan-Paul van Loon, Gijsbertus J. Verkerke

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

5 Citations (Scopus)

Abstract

Background, After total laryngectomy and voice rehabilitation using a tracheoesophageal shunt valve, patients often have valve-related complications such as leakage. To solve these problems, a tracheoesophageal tissue connector (TE-TC) was devised to serve as an interface between the patient's tissue (trachea and esophagus) and the shunt valve.

Methods. The TE-TC is a permucosal connection constructed from a titanium ring (filled with a silicon rubber plug) combined with polypropylene or titanium mesh. After implantation in adult goats for 12 weeks the implants were submitted to histologic investigation.

Results. Firm implant fixation was achieved. In nearly all (18/19), no signs of infection of the implant were seen; 11 of 19 animals died before the end of the experiment owing to complications not related to the implant.

Original language	English
Pages (from-to)	982-989
Number of pages	8
Journal	Head and Neck: Journal of the Sciences and Specialties of the Head and Neck
Volume	28
Issue number	11
DOIs	https://doi.org/10.1002/hed.20451
Publication status	Published - Nov-2006

Keywords

implant
voice prosthesis
voice rehabilitation
permucosal
soft tissue
INDWELLING VOICE PROSTHESIS
PERCUTANEOUS ACCESS DEVICE
FIBER MESH ANCHORAGE
PERITONEAL-DIALYSIS
IN-VITRO
LARYNGEAL TRANSPLANTATION
TRACHEOSTOMA VALVE
FAT INJECTION
REHABILITATION
LEAKAGE

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ten Hallers, E. J. O., Marres, H. A. M., van der Houwen, E. B., Jansen, J. A., Rakhorst, G., Schutte, H. K., van Kooten, T. G., van Loon, J-P., & Verkerke, G. J. (2006). Experimental results of the tracheoesophageal tissue connector for improved fixation of shunt valves in laryngectomized patients. Head and Neck: Journal of the Sciences and Specialties of the Head and Neck, 28(11), 982-989. https://doi.org/10.1002/hed.20451

@article{0306eb14b3a2486aa9948de41d75d56d,

title = "Experimental results of the tracheoesophageal tissue connector for improved fixation of shunt valves in laryngectomized patients",

abstract = "Background, After total laryngectomy and voice rehabilitation using a tracheoesophageal shunt valve, patients often have valve-related complications such as leakage. To solve these problems, a tracheoesophageal tissue connector (TE-TC) was devised to serve as an interface between the patient's tissue (trachea and esophagus) and the shunt valve.Methods. The TE-TC is a permucosal connection constructed from a titanium ring (filled with a silicon rubber plug) combined with polypropylene or titanium mesh. After implantation in adult goats for 12 weeks the implants were submitted to histologic investigation.Results. Firm implant fixation was achieved. In nearly all (18/19), no signs of infection of the implant were seen; 11 of 19 animals died before the end of the experiment owing to complications not related to the implant.Conclusions. The TE-TC is a new device with potential in the solution for fixation-related problems in tracheoesophageal voice rehabilitation. (c) 2006 Wiley Periodicals, Inc.",

keywords = "implant, voice prosthesis, voice rehabilitation, permucosal, soft tissue, INDWELLING VOICE PROSTHESIS, PERCUTANEOUS ACCESS DEVICE, FIBER MESH ANCHORAGE, PERITONEAL-DIALYSIS, IN-VITRO, LARYNGEAL TRANSPLANTATION, TRACHEOSTOMA VALVE, FAT INJECTION, REHABILITATION, LEAKAGE",

author = "{ten Hallers}, {E. J. Olivier} and Marres, {Henri A. M.} and {van der Houwen}, {Eduard B.} and Jansen, {John A.} and Gerhard Rakhorst and Schutte, {Harm K.} and {van Kooten}, {Theo G.} and {van Loon}, Jan-Paul and Verkerke, {Gijsbertus J.}",

year = "2006",

month = nov,

doi = "10.1002/hed.20451",

language = "English",

volume = "28",

pages = "982--989",

journal = "Head and Neck: Journal of the Sciences and Specialties of the Head and Neck",

issn = "1043-3074",

publisher = "Wiley",

number = "11",

}

ten Hallers, EJO, Marres, HAM, van der Houwen, EB, Jansen, JA, Rakhorst, G, Schutte, HK, van Kooten, TG, van Loon, J-P & Verkerke, GJ 2006, 'Experimental results of the tracheoesophageal tissue connector for improved fixation of shunt valves in laryngectomized patients', Head and Neck: Journal of the Sciences and Specialties of the Head and Neck, vol. 28, no. 11, pp. 982-989. https://doi.org/10.1002/hed.20451

Experimental results of the tracheoesophageal tissue connector for improved fixation of shunt valves in laryngectomized patients. / ten Hallers, E. J. Olivier; Marres, Henri A. M.; van der Houwen, Eduard B. et al.
In: Head and Neck: Journal of the Sciences and Specialties of the Head and Neck, Vol. 28, No. 11, 11.2006, p. 982-989.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Experimental results of the tracheoesophageal tissue connector for improved fixation of shunt valves in laryngectomized patients

AU - ten Hallers, E. J. Olivier

AU - Marres, Henri A. M.

AU - van der Houwen, Eduard B.

AU - Jansen, John A.

AU - Rakhorst, Gerhard

AU - Schutte, Harm K.

AU - van Kooten, Theo G.

AU - van Loon, Jan-Paul

AU - Verkerke, Gijsbertus J.

PY - 2006/11

Y1 - 2006/11

N2 - Background, After total laryngectomy and voice rehabilitation using a tracheoesophageal shunt valve, patients often have valve-related complications such as leakage. To solve these problems, a tracheoesophageal tissue connector (TE-TC) was devised to serve as an interface between the patient's tissue (trachea and esophagus) and the shunt valve.Methods. The TE-TC is a permucosal connection constructed from a titanium ring (filled with a silicon rubber plug) combined with polypropylene or titanium mesh. After implantation in adult goats for 12 weeks the implants were submitted to histologic investigation.Results. Firm implant fixation was achieved. In nearly all (18/19), no signs of infection of the implant were seen; 11 of 19 animals died before the end of the experiment owing to complications not related to the implant.Conclusions. The TE-TC is a new device with potential in the solution for fixation-related problems in tracheoesophageal voice rehabilitation. (c) 2006 Wiley Periodicals, Inc.

AB - Background, After total laryngectomy and voice rehabilitation using a tracheoesophageal shunt valve, patients often have valve-related complications such as leakage. To solve these problems, a tracheoesophageal tissue connector (TE-TC) was devised to serve as an interface between the patient's tissue (trachea and esophagus) and the shunt valve.Methods. The TE-TC is a permucosal connection constructed from a titanium ring (filled with a silicon rubber plug) combined with polypropylene or titanium mesh. After implantation in adult goats for 12 weeks the implants were submitted to histologic investigation.Results. Firm implant fixation was achieved. In nearly all (18/19), no signs of infection of the implant were seen; 11 of 19 animals died before the end of the experiment owing to complications not related to the implant.Conclusions. The TE-TC is a new device with potential in the solution for fixation-related problems in tracheoesophageal voice rehabilitation. (c) 2006 Wiley Periodicals, Inc.

KW - implant

KW - voice prosthesis

KW - voice rehabilitation

KW - permucosal

KW - soft tissue

KW - INDWELLING VOICE PROSTHESIS

KW - PERCUTANEOUS ACCESS DEVICE

KW - FIBER MESH ANCHORAGE

KW - PERITONEAL-DIALYSIS

KW - IN-VITRO

KW - LARYNGEAL TRANSPLANTATION

KW - TRACHEOSTOMA VALVE

KW - FAT INJECTION

KW - REHABILITATION

KW - LEAKAGE

U2 - 10.1002/hed.20451

DO - 10.1002/hed.20451

M3 - Article

SN - 1043-3074

VL - 28

SP - 982

EP - 989

JO - Head and Neck: Journal of the Sciences and Specialties of the Head and Neck

JF - Head and Neck: Journal of the Sciences and Specialties of the Head and Neck

IS - 11

ER -