PURPOSE To assess the effect of a program of singing training on the voice of total laryngectomees wearing tracheoesophageal voice prosthesis, considering the quality of alaryngeal phonation, vocal extension and the musical elements of tunning and legato. METHODS Five laryngectomees wearing tracheoesophageal voice prosthesis completed the singing training program over a period of three months...

RATIONALE Congenital esophageal atresia (EA) and tracheoesophageal fistula (TEF) ininfants have been treated well with surgery. Approximately 10% of children displayed recurrent fistula. In the present case, we reported recurrent TEF in an adolescent as a complication of EA/TEF in infancy. PATIENT CONCERNS An infant was diagnosed with gross type C congenital EA and TEF and subsequentlyunderwe...

Christopher M. Tran, MD Louisiana State University Health Sciences Center – New Orleans Email: [email protected] Website: www.lsuhsc.edu Phone: 504.568.4785 Contact 1. Altorjay, A, Mucs, M, Rull, M, et al. Recurrent, nonmalignant tracheoesophageal fistulas and the need for surgical improvisation. Annals of Thoracic Surgery 2010; 89: 1789-1796. 2. Baisi, A, Bonavina, L, Narne, S, Peracchia, A. B...

rare complication caused by a variety of conditions. Along with trauma and malignancy, cuff-related tracheal injury has become the most common etiology. As few cases have been reported, with different clinical presentations and solutions for treatment, the results and conclusions are difficult to interpret [1–3]. This report describes a new, practical approach to the treatment of large tracheoe...

OBJECTIVES To assess the use of indwelling tracheoesophageal speaking valves in Chinese patients undergoing laryngectomy, to identify the clinicopathologic factors for favorable outcome, and to evaluate the factors that determine prosthesis lifetime. DESIGN Retrospective review. SETTING Tertiary care institution. PATIENTS Sixty consecutive patients with total laryngectomy were included. A...

Tracheoesophageal fistula and tracheo-arterial fistula are both uncommon but life-threatening complications after a tracheostomy. The most common source of a major hemorrhage is from the tracheo-innominate artery fistula. Most tracheo-arterial fistulas occur within the first 3 weeks after tracheostomy. We describe a very rare case of a patient who developed both a tracheoesophageal fistula and ...

Tracheoesophageal fistula (TEF) without associated esophageal atresia (EA) is a rare congenital anomaly. Diagnosis in neonatal period is usually not made and most of the patients are treated as cases of pneumonia. A case of H-type of tracheoesophageal fistula, diagnosed within 24 hours of delivery based upon choking and cyanosis on first trial of feed, is being reported. Diagnosis was confirmed...

A 52-year-old woman presented to the emergency department in February 2012 with a productive cough of 2 months duration and recurrent pneumonia. The patient had a history of recurrent bacterial pneumonias and stage IIIC squamous cell esophageal cancer that was managed with chemotherapy and radiotherapy. Chest imaging (panel A) revealed a right lower lobe infiltrate consistent with a possible ea...

An 84-year-old man with dysphagia was referred to our hospital for examination. The patient’s medical history included endoscopic submucosal dissection for superficial esophageal cancer 2 years previously. Gastrointestinal endoscopy revealed an esophageal foreign body, a pressthrough pack (PTP) (Fig. 1A). The PTP was successfully removed endoscopically. After extraction of the PTP, the patient ...