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

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

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Titanium
Rehabilitation
Laryngectomy
Polypropylenes
Rubber
Silicon
Trachea
Goats
Esophagus
Equipment and Supplies
Infection

Keywords

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

Cite this

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
ten Hallers, E.J.O. ; Marres, Henri A.M. ; van der Houwen, Eduard B. ; Jansen, John A. ; Rakhorst, Gerhard ; Schutte, Harm K. ; van Kooten, Theo G. ; van Loon, Jan-Paul ; Verkerke, Gijsbertus Jacob. / Experimental results of the tracheoesophageal tissue connector for improved fixation of shunt valves in laryngectomized patients. In: Head & neck. 2006 ; Vol. 28, No. 11. pp. 982-989.
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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.",
keywords = "METIS-234410, IR-72073, voice rehabilitation, soft tissue, permucosal, Voice prosthesis, Implant",
author = "{ten Hallers}, E.J.O. 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 Jacob}",
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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 & 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.O.; Marres, Henri A.M.; van der Houwen, Eduard B.; Jansen, John A.; Rakhorst, Gerhard; Schutte, Harm K.; van Kooten, Theo G.; van Loon, Jan-Paul; Verkerke, Gijsbertus Jacob.

In: Head & neck, Vol. 28, No. 11, 2006, p. 982-989.

Research output: Contribution to journalArticleAcademicpeer-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.O.

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 Jacob

PY - 2006

Y1 - 2006

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.

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.

KW - METIS-234410

KW - IR-72073

KW - voice rehabilitation

KW - soft tissue

KW - permucosal

KW - Voice prosthesis

KW - Implant

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DO - 10.1002/hed.20451

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JO - Head & neck

JF - Head & neck

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