Experimental results of the tracheoesophagel 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

doi:10.1002/hed.20451

Experimental results of the tracheoesophagel 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 journal › Article › Academic › peer-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 language	English
Pages (from-to)	982-989
Number of pages	8
Journal	Head & neck
Volume	28
Issue number	11
DOIs	https://doi.org/10.1002/hed.20451
Publication status	Published - 11 Aug 2006

Keywords

Implant
Permucosal
Soft tissue
Voice prosthesis
Voice rehabilitation

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10.1002/hed.20451

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@article{ab05a82a37c848d1b5655ffd54ca543c,

title = "Experimental results of the tracheoesophagel 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 = "Implant, Permucosal, Soft tissue, Voice prosthesis, Voice rehabilitation",

author = "{ten Hallers}, {E.J. Olivier} 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 J.}",

year = "2006",

month = aug,

day = "11",

doi = "10.1002/hed.20451",

language = "English",

volume = "28",

pages = "982--989",

journal = "Head & neck",

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T1 - Experimental results of the tracheoesophagel tissue connector for improved fixation of shunt valves in laryngectomized patients

AU - ten Hallers, E.J. Olivier

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 J.

PY - 2006/8/11

Y1 - 2006/8/11

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 - Implant

KW - Permucosal

KW - Soft tissue

KW - Voice prosthesis

KW - Voice rehabilitation

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DO - 10.1002/hed.20451

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VL - 28

SP - 982

EP - 989

JO - Head & neck

JF - Head & neck

SN - 1043-3074

IS - 11

ER -

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

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Keywords

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