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Case of the month: Dislodged tracheo-oesophageal valve: importance of rapid replacement or stenting
  1. H Hathurusinghe,
  2. H Uppal,
  3. R Shortridge,
  4. C Read
  1. Department of Otolaryngology, Department of Emergency Medicine, Russells Hall Hospital, Dudley, West Midlands, UK
  1. Correspondence to:
 H Hathurusinghe
 164 Blakedown Road, Halesowen, West Midlands B63 4QL, UK; harsharaminda{at}


Dislodgement of a tracheo-oesophageal prosthesis needs prompt action to ensure patency and prevent aspiration in patients with total laryngectomy. Failure to do so may lead to an unnecessary repeat tracheo-oesophageal puncture. This case report is about a patient who needed a repeat procedure under general anaesthetic. It highlights the need for emergency physicians to be aware of this not uncommon event in a patient with a laryngectomy and to refer them immediately for ENT review.

  • tracheo-oesophageal fistula
  • voice prosthesis

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  • Competing interests: none declared