@entity4501 ( @entity4501 ) is a highly successful procedure for voice restoration. Occasionally, however, @entity1 fail to achieve satisfactory voice or develop salivary leakage through the @entity292 into the @entity825 . Closure of the @entity4501 is then necessary. In most cases, spontaneous closure occurs once the prosthesis has been removed. When the @entity292 does not close spontaneously, surgical closure is indicated to prevent @entity358 . We describe a three-layer technique that employs interposition of dermal graft. The technique was used on 14 @entity1 over a 7-year period. Most @entity1 received irradiation to the neck. Complete closure was achieved in 13 of 14 cases; 1 @entity1 developed partial breakdown of the closure. Our technique is relatively easy to perform and has a high success rate (92%). Irradiation did not adversely affect the closure rate.

Surgical closure of persisting failed XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity825 :: ('MESH:D055090', 'Disease') :: ['trachea'] @entity4501 :: ('MESH:D014138', 'Disease') :: ['TEP', 'Tracheoesophageal puncture'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity358 :: ('MESH:D008171', 'Disease') :: ['aspiration and pulmonary complications']
@entity4501 :: (MESH:D014138,Disease) :: ['tracheoesophageal voice fistula']
