{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T13:58:52Z","timestamp":1788789532228,"version":"build-2803163510"},"reference-count":11,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,4,6]],"date-time":"2018-04-06T00:00:00Z","timestamp":1522972800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Tracheoesophageal puncture (TEP) with voice prosthesis is a widely used technique for voice restoration in laryngectomy and pharyngolaryngectomy patients. Complications include leakage around the prosthesis or a persistent TEP postremoval of the prosthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We describe a method for managing leakage around voice prosthesis or persistent TEP using hyaluronic acid injection. We also present a retrospective audit of our practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This study had 8 patients who were treated over a 32\u2010month period. All cases had immediate cessation of salivary leak. Duration of efficacy was variable. Five of the 8 cases had permanent resolution of their symptoms after multiple injections. Two cases of persistent TEP were treated surgically after multiple injections. One patient with peripheral leakage continues to have regular injections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Hyaluronic acid injection in the treatment of persistent TEP or peripheral leak around a voice prosthesis is a useful treatment option to provide immediate and occasionally long\u2010lasting relief from symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.25162","type":"journal-article","created":{"date-parts":[[2018,4,7]],"date-time":"2018-04-07T00:15:21Z","timestamp":1523060121000},"page":"1573-1576","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Management of leaking tracheoesophageal puncture with hyaluronic acid injection"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7271-928X","authenticated-orcid":false,"given":"Kevin","family":"Twomey","sequence":"first","affiliation":[{"name":"Department of Ear, Nose, and Throat Surgery Royal Brisbane and Women's Hospital Herston, Brisbane Queensland 4029 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Lehn","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose, and Throat Surgery Royal Brisbane and Women's Hospital Herston, Brisbane Queensland 4029 Australia"},{"name":"Speech Pathology Department Royal Brisbane and Women's Hospital Herston, Brisbane Queensland 4029 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarju","family":"Vasani","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose, and Throat Surgery Royal Brisbane and Women's Hospital Herston, Brisbane Queensland 4029 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,6]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-003-7107-4"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajot.2002.126853"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21399"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21807"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3393-8"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23368"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1258\/002221503321046739"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.1145"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.173125"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21872"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949710600912"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.25162","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.25162","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T14:57:24Z","timestamp":1694357844000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.25162"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,6]]},"references-count":11,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1002\/hed.25162"],"URL":"https:\/\/doi.org\/10.1002\/hed.25162","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,6]]},"assertion":[{"value":"2017-02-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}