Surgical Closure Technique of Tracheoesphageal Fistulae

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dc.contributor.authorYeung, Zenon
dc.contributor.authorFagan, Johan
dc.contributor.editorFagan, Johan
dc.date.accessioned2026-07-07T10:22:33Z
dc.date.available2026-07-07T10:22:33Z
dc.date.issued2025-04-21
dc.description.abstractTracheoesophageal fistula (TOF) speech is the optimal method for postlaryngectomy speech rehabilitation. Advantages include: •No external device required •Doesn’t rely on a battery •More natural, intelligible voice •Uses patient’s tidal volume ~500mL as energy, and therefore allows the patient to speak louder with a more sustained voice without any pauses However, problems do arise from time-to-time with the TOF and tracheoesophageal voice prosthesis: •Enlarging fistula around prosthesis causing leakage of saliva and food and aspiration pneumonia (Figure 4) •Leakage of saliva and food through the prosthesis •Granulations around the prosthesis •Failure of tracheoesophageal speech due to pharyngoesophageal segment spasm •Fungal colonisation of the prosthesis causing it to leak •Dislodgement and aspiration of the prosthesis into the tracheobronchial tree •Obstructed swallowing secondary to the prosthesis •Failure of tracheoesophageal speech because of lack of motivation and cost of the prostheses
dc.identifier.apacitationYeung, Z., & Fagan, J. (2025). Surgical Closure Technique of Tracheoesphageal Fistulae. In J. Fagan. (Ed.), <i>Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery</i> (pp.6). Cape Town, South Africa: University of Cape Town. http://hdl.handle.net/11427/43498en_ZA
dc.identifier.chicagocitationYeung, Zenon, and Johan Fagan. "Surgical Closure Technique of Tracheoesphageal Fistulae" In <i>OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY</i>, edited by Johan Fagan., 6. Cape Town, South Africa: University of Cape Town. 2025. http://hdl.handle.net/11427/43498.en_ZA
dc.identifier.citationYeung, Z. & Fagan, J. 2025. Surgical Closure Technique of Tracheoesphageal Fistulae. In <i>Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery</i>. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 6. http://hdl.handle.net/11427/43498 .en_ZA
dc.identifier.ris TY - Chapter in Book AU - Yeung, Zenon AU - Fagan, Johan AB - Tracheoesophageal fistula (TOF) speech is the optimal method for postlaryngectomy speech rehabilitation. Advantages include: •No external device required •Doesn’t rely on a battery •More natural, intelligible voice •Uses patient’s tidal volume ~500mL as energy, and therefore allows the patient to speak louder with a more sustained voice without any pauses However, problems do arise from time-to-time with the TOF and tracheoesophageal voice prosthesis: •Enlarging fistula around prosthesis causing leakage of saliva and food and aspiration pneumonia (Figure 4) •Leakage of saliva and food through the prosthesis •Granulations around the prosthesis •Failure of tracheoesophageal speech due to pharyngoesophageal segment spasm •Fungal colonisation of the prosthesis causing it to leak •Dislodgement and aspiration of the prosthesis into the tracheobronchial tree •Obstructed swallowing secondary to the prosthesis •Failure of tracheoesophageal speech because of lack of motivation and cost of the prostheses CY - Cape Town, South Africa DA - 2025-04-21 DB - OpenUCT DP - University of Cape Town ED - Fagan, Johan J1 - Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery KW - TOF, Tracheoesophageal Fistula, Closure, Surgery, Laryngectomy, Voice Prothesis LK - https://open.uct.ac.za PP - Cape Town, South Africa PY - 2025 T1 - Surgical Closure Technique of Tracheoesphageal Fistulae TI - Surgical Closure Technique of Tracheoesphageal Fistulae UR - http://hdl.handle.net/11427/43498 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/43498
dc.identifier.vancouvercitationYeung Z, Fagan J. Surgical Closure Technique of Tracheoesphageal Fistulae. In Fagan J, editor.. Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. Cape Town, South Africa: University of Cape Town; 2025. p.6. [cited yyyy month dd]. http://hdl.handle.net/11427/43498.en_ZA
dc.language.isoen
dc.publisherUniversity of Cape Town
dc.publisher.departmentDivision of Otorhinolaryngology
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.locationCape Town, South Africa
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.sourceOpen Access Atlas of Otolaryngology, Head & Neck Operative Surgery
dc.source.pagination6
dc.subjectTOF, Tracheoesophageal Fistula, Closure, Surgery, Laryngectomy, Voice Prothesis
dc.titleSurgical Closure Technique of Tracheoesphageal Fistulae
dc.typeChapter in Book
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