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

E.J.O. 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 Jacob Verkerke

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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.
Original languageEnglish
Pages (from-to)982-989
Number of pages8
JournalHead & neck
Volume28
Issue number11
DOIs
Publication statusPublished - 2006

Keywords

  • METIS-234410
  • IR-72073
  • voice rehabilitation
  • soft tissue
  • permucosal
  • Voice prosthesis
  • Implant

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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., ... Verkerke, G. J. (2006). Experimental results of the tracheoesophageal tissue connector for improved fixation of shunt valves in laryngectomized patients. Head & neck, 28(11), 982-989. https://doi.org/10.1002/hed.20451