Nova kirurška metoda zatvaranja spuštene traheoezofagealne fistule.

Aim: Tracheoesophageal speech with voice prosthesis is a gold standard in voice rehabilitation of laryngectomized patients. One of the possible complications associated with the use of voice prosthesis is downward migration of tracheoesophageal puncture. The aim of this paper is to present a new surgical method for closing downward migrated tracheoesophageal puncture. Patients and methods: The study included 6 patients with downward migrated tracheoesophageal puncture. In the treatment we used a new surgical method for closing downward migrated tracheoesophageal puncture, based on displaying the tracheoesophageal puncture in the full range of 360° and placing a double ligature on tracheoesophageal puncture. Results: There were no complications associated with the surgical treatment (infection, bleeding) or with recurrence of downward migration of speech prosthesis. All patients had a well rehabilitated voice and speech after reinserting the speech prosthesis. Conclusions: The method that was used for closing downward migrated tracheoesophageal puncture is simple and effective, and does not require special instruments and thus we believe it can be used in everyday ENT practice. [ABSTRACT FROM AUTHOR]