Pitfall of using a Provox for the recovery of speech after laryngectomy: Refractory tracheoesophageal fistula after removal of a Provox in two cases for which a Provox had proven useless

ITO Keiko, MIZUTARI Sachiko, ASAI Hidetoshi, HABA Kouichi

doi:10.11334/jibi.68.1_57

<p>We herein report two cases in which closing a tracheoesophageal fistula proved difficult after removing a Provox due to a lack of utility. In Case 1, the patient was an 87-year-old man. At 8 months and again at 13 months after the removal of a Provox, fistulas appeared, and suturing was needed each time. In Case 2, the patient was a 74-year-old man. After the removal of a Provox, repeated suturing was performed, but the fistula could not be closed. The patient developed pulmonary aspiration twice while a nasogastric tube was inserted for nutrition. The fistula was finally closed 2 months later with a percutaneous endoscopic gastrostomy in position. Given the progressive aging of the population, it is a matter of concern that the patients who either cannot speak or who do not want to speak with a Provox will increase. We must carefully consult each patient's medical history and completely explain before the placement of a Provox that they may require repeated suturing and possible experience serious complications, such as pulmonary aspiration, with the removal of the device.</p>

Pitfall of using a Provox for the recovery of speech after laryngectomy: Refractory tracheoesophageal fistula after removal of a Provox in two cases for which a Provox had proven useless

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