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 journalArticleAcademicpeer-review

4 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.

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.

Original languageEnglish
Pages (from-to)982-989
Number of pages8
JournalHead and Neck: Journal of the Sciences and Specialties of the Head and Neck
Volume28
Issue number11
DOIs
Publication statusPublished - 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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