Year 2016 / Volume 108 / Number 10
Digestive Diseases Image
A typical but seldom recognized foreign body in the esophagus of a laryngectomized patient

660-661

Jaime P. Rodrigues, Rolando Pinho, Joao Carvalho,

Abstract
A 57-year-old man with a past medical history of total laryngectomy for squamous cell carcinoma of the larynx was admitted to our institution 5 months after the procedure, for surgical resection of a local recurrence of the tumor. In the postoperative period, endoscopically guided placement of a nasogastric tube was scheduled, after previous failed attempts. Upper gastrointestinal endoscopy revealed an anastomotic dehiscence, 13 cm distal to the incisors, and a foreign body penetrating through the esophageal wall, 20cm distal to the incisors. We were unable to identify the foreign body with certainty but, after consulting with the assistant otorhinolaryngologist, we realized that it was a voice prosthesis.
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References
1. Singer MI, Blom ED. An endoscopic technique for voice restoration after total laryngectomy. Ann Otol Rhinol Laryngol 1980; 89: 529–33.
2. Hillman RE, Walsh MJ, Wolf GT, et al. Functional outcomes following treatment for advanced laryngeal cancer. Part I--Voice preservation in advanced laryngeal cancer. Part II--Laryngectomy rehabilitation: the state of the art in the VA System. Research Speech-Language Pathologists. Department of Veterans Affairs Laryngeal Cancer Study Group. Ann Otol Rhinol Laryngol Suppl 1998; 172:1-27.
3. Robbins J. Acoustic differentiation of laryngeal, esophageal, and tracheoesophageal speech. J Speech Hear Res 1984; 27:577-85.
4. Karakaya K, Emre AU, Tascilar O, et al. Esophageal voice prosthesis mistaken for impacted foreign body. Endoscopy 2009; 41 (Suppl 2): E183.
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Rodrigues J, Pinho R, Carvalho J. A typical but seldom recognized foreign body in the esophagus of a laryngectomized patient. 3892/2015


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Publication history

Received: 16/06/2015

Accepted: 14/09/2015

Published: 30/09/2016

Article revision time: 87 days

Article editing time: 472 days


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