Secondary Tracheoesophageal Puncture After Laryngectomy Increases Complications With Shunt and Voice Prosthesis.
Larynx
head and neck cancer
tracheoesophageal shunt
voice preservation
voice prosthesis
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
06
08
2019
revised:
18
12
2019
accepted:
02
01
2020
pubmed:
7
2
2020
medline:
14
1
2021
entrez:
7
2
2020
Statut:
ppublish
Résumé
To evaluate the demographics, clinical features, management, and prognostic indicators of tracheoesophageal puncture complications in patients undergoing placement of voice prosthesis following cancer treatment. Retrospective analysis. A retrospective analysis was conducted of cases from a tertiary referral center diagnosed between 1996 and 2015. Multivariate logistic regression was used to determine factors associated with tracheoesophageal puncture (TEP) and voice prostheses-complication-free survival (TEP/VP-CFS). One hundred fourteen cases were identified. Most patients were males (92.9%) with pT3 (26.8%) or pT4 (58.1%) N+ (53.6%) tumors. All patients received laryngectomy as the primary treatment, with 75% of patients receiving adjuvant radiation therapy or chemoradiotherapy. Complications with TEP were common (65.2%). The most frequent problem was salivary leakage (50.0%), which at the same time was the most common reason for changing the prosthesis. On univariate regression analysis, prosthesis placement time after adjuvant radiotherapy (hazard ratio [HR]: 4.17, 95% confidence interval [CI]: 2-8.69), secondary prosthesis placement after primary surgery (HR: 3.97, 95% CI: 1.99-7.9), and laryngectomy with flap reconstruction (HR: 1.96, 95% CI: 0.99-3.89) were significant prognosticators for complications. Multivariate regression analysis revealed secondary prosthesis placement after adjuvant radiotherapy (HR: 3.66, 95% CI: 1.39-9.68) or after primary surgery (HR: 2.57, 95% CI: 0.92-7.2) to be the strongest predictors of reduced TEP/VP-CFS. Secondary prosthesis placement after primary surgery, placement after previous irradiation, and laryngectomy with flap reconstruction are predictors of poor TEP/VP-CFS. Planned adjuvant radiotherapy is not a contraindication for TEP with prosthetic placement, but it is very important to place the prosthesis during the primary surgery or at least before scheduled radiotherapy. 4 Laryngoscope, 2020.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E865-E873Informations de copyright
© 2020 The Authors. The Laryngoscope published by Wiley Periodicals, Inc. on behalf of The American Laryngological, Rhinological and Otological Society, Inc.
Références
Blom ED. Tracheoesophageal voice restoration: origin-evolution-state-of-the-art. Folia Phoniatr Logop 2000;52:14-23.
Brown DH, Hilgers FJ, Irish JC, Balm AJ. Post- laryngectomy voice rehabilitation: state of the art at the millennium. World J Surg 2003;27:824-831.
Hilgers FJ, Balm AJ. Long-term results of vocal rehabilitation after total laryngectomy with the low-resistance, indwelling Provox voice prosthesis system. Clin Otolaryngol Allied Sci 1993;18:517-523.
Singer MI, Blom ED. An endoscopic technique for restoration of voice after laryngectomy. Ann Otol Rhinol Laryngol 1980;89:529-533.
Zenga J, Goldsmith T, Bunting G, Deschler DG. State of the art: rehabilitation of speech and swallowing after total laryngectomy. Oral Oncol 2018;86:38-47.
Neumann A, Schultz-Coulon HJ. Management of complications after prosthetic voice rehabilitation. HNO 2000;48:508-516.
Gitomer SA, Hutcheson KA, Christianson BL, et al. Influence of timing, radiation, and reconstruction on complications and speech outcomes with tracheoesophageal puncture. Head Neck 2016;38:1765-1771.
Andrews JC, Mickel RA, Hanson DG, Monahan GP, Ward PH. Major complications following tracheoesophageal puncture for voice rehabilitation. Laryngoscope 1987;97:562-567.
Izdebski K, Reed CG, Ross JC, Hilsinger RL Jr. Problems with tracheoesophageal fistula voice restoration in totally laryngectomized patients. A review of 95 cases. Arch Otolaryngol Head Neck Surg 1994;120:840-845.
Manni JJ, Van den Broek P. Surgical and prosthesis-related complications using the Gronin- gen button voice prosthesis. Clin Otolaryngol Allied Sci 1990;15:515-523.
Silver FM, Gluckmann JL, Donegan JO. Operative complications of tracheoesophageal puncture. Laryngoscope 1985;95:1360-1362.
Wang RC, Bui T, Sauris E, Ditkoff M, Anand V, Klatsky IA. Long- term problems in patients with tracheoesophageal puncture. Arch Otolaryngol. Arch Otolaryngol Head Neck Surg 1991;17:1273-1276.
Daniilidis I, Nikolaou A, Markou C, Kotsani A. Voice rehabilitation after total laryngectomy. Voice prostheses or esophageal replacement voice? Laryngorhinootologie 1998;77:89-92.
De Maddalena H, Pfrang H, Schohe R, Zenner HP. Speech intelligibility and psychosocial adaptation in various voice rehabilitation methods following laryngectomy. Laryngorhinootologie 1991;70:562-567.
Edge S, Byrd DR, Compton CC, Greene F, Trotti A. AJCC Cancer Staging Manual. 7th ed. New York, NY: Springer; 2010.
Greene F, Balch CM, Fleming ID, April F. AJCC Cancer Staging Manual. 6th ed. NewYork, NY: Springer; 2003.
Scherl C, Mantsopoulos K, Semrau S, et al. Management of advanced hypopharyngeal and laryngeal cancer with and without cartilage invasion. Auris Nasus Larynx 2017;44:333-339.
Hoebers F, Rios E, Troost E, et al. Definitive radiation therapy for treatment of laryngeal carcinoma: impact of local relapse on outcome and implications for treatment strategies. Strahlenther Onkol 2013;189:834-841.
Mucha-Małecka A, Chrostowska A, Urbanek K, Małecki K. Prognostic factors in patients with T1 glottic cancer treated with radiotherapy. Strahlenther Onkol 2019;195:792-804.
Dinapoli N, Parrilla C, Galli J, et al. Multidisciplinary approach in the treatment of T1 glottic cancer. The role of patient preference in a homogenous patient population. Strahlenther Onkol 2010;186:607-613.
Uno T, Itami J, Kotaka K, Toriyama M. Radical radiotherapy for T3 laryngeal cancers. Strahlenther Onkol 1996;172:422-426.
Herrmann IF. New aspects in the therapy of laryngeal tumors from the surgeon's viewpoint. Strahlenther Onkol 1987;163:511-518.
Garth RJN, McRae A, Rhŷs Evans PH. Tracheo-oesophageal puncture: a review of problems and complications. J Laryngol Otol 1991;105:750-754.
Petersen JF, Lansaat L, Timmermans AJ, van der Noort V, Hilgers FJM, van den Brekel MWM. Postlaryngectomy prosthetic voice rehabilitation outcomes in a consectutive cohort of 232 patients over a 13 year period. Head Neck 2019;41:623-631.
Kress P, Schäfer P, Schwerdtfeger FP. The custom-fit voice prosthesis, for treatment of periprothetic leakage after tracheoesophageal voice restoration. Laryngorhinootologie 2006;85:496-500.
Lewin JS, Hutcheson KA, Barringer DA, Croegaert LE, Lisec A, Chambers MS. Customization of the voice prosthesis to prevent leakage from the enlarged tracheoesophageal puncture: results of a prospective trial. Laryngoscope 2012;122:1767-1772.
Al Kadah B, Papaspyrou G, Schneider M, Schick B. Novel modification of voice prosthesis. Eur Arch Otorhinolaryngol 2016;273:697-702.
Remacle MJ, Declaye XJ. Gax-collagen injection to correct an enlarged tracheoesophageal fistula for a vocal prosthesis. Laryngoscope 1988;98:1350-1352.
Lorenz KJ. The development and treatment of periprosthetic leakage after prosthetic voice restoration: a literature review and personal experience. Part II: conservative and surgical management. Eur Arch Otorhinolaryngol 2015;272:661-672.
Geyer M, Tan N, Ismail-Koch H, Puxeddu R. A simple closure technique for reversal of tracheoesophageal puncture. Am J Otolaryngol 2011;32:627-630.
Op de Coul BM, Hilgers FJ, Balm AJ, Tan IB, van den Hoogen FJ, van Tinteren H. A decade of postlaryngectomy vocal rehabilitation in 318 patients: a single Institution's experience with consistent application of provox indwelling voice prostheses. Arch Otolaryngol Head Neck Surg 2000;126:1320-1328.
Hilgers FJM, Balm AJM, Gregor RT. Voice rehabilitation after laryngectomy with the Provox voice prosthesis. Surgical and technical aspects II. HNO 1995;43:261-267.
Hilgers FJ1, Balm AJ, Gregor RT. Prosthetic voice restoration after laryngectomy. The management of fistula complications with anti-reflux medication. HNO 1995;43:261-267.
Lorenz KJ, Kraft K, Graf F, Pröpper C, Steinestel K. Importance of cellular tight junction complexes in the development of periprosthetic leakage after prosthetic voice rehabilitation. HNO 2015;63:171-172. 174-178.
Pattani KM, Morgan M, Nathan CO. Reflux as a cause of tracheoesophageal puncture failure. Laryngoscope 2009;119:121-125.
Kummer P, Schuster CM, Rosanowski F. Prosthetic voice rehabilitation after laryngectomy. Failures and complications after previous radiation therap. HNO 2006;54:315-322.
Trudeau MD, Schuller DE, Hall DA. The effects of radiation on tracheoesophageal puncture. A retrospective study. Arch Otolaryngol Head Neck Surg 1989;115:1116-1117.
Rachelle A, Robinson RA, Simms VA, et al. Total laryngectomy with primary tracheoesophageal puncture: intraoperative versus delayed voice prosthesis placement. Head Neck 2017;39:1138-1144.
Onbasi Y, Lettmaier S, Hecht M, et al. Is there a patient population with squamous cell carcinoma of the head and neck region who might benefit from de-intensification of postoperative radiotherapy? A monocentric retrospective analysis of a previously defined low-risk patient population treated with standard-of-care radiotherapy. Strahlenther Onkol 2019;195:482-495.
Ursino S, Cocuzza P, Seccia V, et al. Pattern of dysphagia after swallowing-sparing intensity-modulated radiotherapy (IMRT) of head and neck cancers: results of a mono-institutional prospective study. Strahlenther Onkol 2018;194:1114-1123.
Carpén T, Saarilahti K, Haglund C, et al. Tumor volume as a prognostic marker in p16-positive and p16-negative oropharyngeal cancer patients treated with definitive intensity-modulated radiotherapy. Strahlenther Onkol 2018;194:759-770.