Table 3 Complications after tracheoesophageal prosthesis placement and related surgery.

From: Oncological and functional outcome after laryngectomy for laryngeal and hypopharyngeal cancer: a population-based analysis in Germany from 2001 to 2020

Parameter

Frequency (N)

%

All

617

100

Voice prosthesis status

 Patients with voice prosthesis

461

74.7

 Patients without voice prosthesis

145

23.5

  Patient did not want a prosthesis

57

9.2

  Intraoperative contraindication

51

8.3

  No suitability after speech diagnostics

17

2.8

 Voice prosthesis status unknown

11

1.8

 All patients with prosthesis

461

100

Prosthesis related complications

 Leakage through the prosthesis

176

38.2

 Recurrent dysphonia

156

33.8

 Obstruction of the prosthesis

115

24.9

 Dislocation of the prosthesis

44

9.5

 Enlarged tracheoesophageal fistula

44

9.5

 Infection/granuloma around prosthesis

29

6.3

 Extrusion of the prosthesis

16

3.5

Prosthesis complications related therapy

 Dilatation of the esophagus

60

13.0

 Tracheostomy revision

58

12.6

 Botulinumtoxin injectiona

47

10.2

 Definitive prosthesis removal

30

6.5

 Closure of the tracheoesophageal fistula

29

6.3

 

Mean ± SD

Median, range

Number of prosthesis changes

3.1 ± 3.3

2, 0–25

Time to first prosthesis change, in months

7.7 ± 5.3

7, 0–22

Time to definitive removal, in months

29.1 ± 32.6

15.5, 0–121

Time to last follow-up with prosthesis in place, in months

36.1 ± 41.8

19, 0–201

  1. aIn parapharyngeal musculature.