trachea – Oral Cancer News

Novel one-step system for restoring voice in throat cancer patients

Source: medicalxpress.com This picture shows the cannula (A) and the tool (B) for inserting the voice prosthesis which is usually made of silicon (partly shown on the left side of the tool). This tool will then be inserted into the cannula so that it can be injected into the patient's fistula according to the length required, using the calibration on the cannula. Credit: National University of Singapore. Patients who have lost their voice box through disease such as throat cancer may be able to speak immediately after a procedure to create a small opening at the throat. A novel system developed through an Engineering-in-Medicine project led by Dr Chui Chee Kiong, NUS Department of Mechanical Engineering, and Dr David Lau, Consultant Ear, Nose & Throat (ENT) Surgeon at Raffles Hospital, cuts down a two-week duration before patients can speak, to about 10 minutes after the initial procedure. People who undergo laryngectomy and lose their voice box can recover approximately 80 per cent of normal speech by having a voice prosthesis fitted into an opening or fistula between the trachea (windpipe) and esophagus (food pipe). To speak, the patient covers the stoma (breathing opening in the neck) with his or her thumb and forces air through the prosthesis into the esophagus and out through the mouth. Before the prosthesis can be inserted, the doctor needs to make a small puncture (tracheo-esophageal puncture or TEP) in the wall between the trachea and esophagus. During the puncture, a guide-wire is inserted into the [...]

Oral Cancer Foundation News Team - A2012-10-09T09:36:31-07:00October, 2012|Oral Cancer News|

High purity zirconia improves speech valves

Source: www.onlinetmd.com Author: Elizabeth Engler Modic Morgan Technical Ceramics (MTC) worked with the UK-based University of Hull to develop a new valve used to restore vocal function for patients with throat cancer. The new tracheo-oesophageal fistula speech valve uses Zyranox biocompatible Yttria partially-stabilized Zirconia, specifically developed for surgical implant devices. The iterative design process for this innovative valve included a close collaboration, featuring consultation on materials, prototyping to test the design, and precision manufacturing to meet the extremely tight tolerances required. The patented new ceramic valve lasts at least eight times longer than traditionally used silicone valves, improving patient quality of life and decreasing overall healthcare costs. The device is to go to market via the spinout company Avoco Medical Ltd. Project Goals Avoco Medical was seeking to improve upon a commonly used speech restoration system for throat cancer patients, which uses a small silicone valve connecting the windpipe (trachea) and the throat (oesophagus). Air, powered by the lungs, diverts into the throat, which vibrates and results in fluent speech. Traditionally the valve is from silicone rubber, but the material exposure to hostile and non-sterile environments results in development of a biofilm on the surface. This biofilm causes valve performance to deteriorate, necessitating an uncomfortable and costly valve replacement procedure about every three months.[1] Precision Manufacturing The company was seeking a way to replace the silicone with ceramic, a more attractive material because of its stability, biocompatibility, and compliance. With its hard, impervious surface, ceramic is more resistant [...]

Oral Cancer Foundation News Team - A2012-04-03T09:21:12-07:00April, 2012|Oral Cancer News|

Using a lab-grown trachea, surgeons conduct the world’s first synthetic organ transplant

Source: www.popsci.com Author: Clay Dillow Surgeons working at Karolinska University Hospital in Sweden have taken a huge step forward for regenerative medicine by successfully executing the world’s first synthetic organ transplant. The donor-less transplant saved the life of a 36-year-old cancer patient, who is doing well now after having received a new windpipe grown from his own stem cells. This story is about as international as it gets: The Eritrean patient, Andemariam Teklesenbet Beyene, was pursuing his doctorate in geology in Iceland when his trachea was consumed by an inoperable tumor that grew so bad that it was actually blocking his breathing. So 3-D scans of his windpipe were sent to scientists at University College London, which crafted a glass scaffold that was a perfect match for Beyene’s trachea and two main bronchi. The scaffold was in turn was sent to Sweden, where it was soaked in stem cells from Beyene’s own bone marrow. The stem cells took hold and within just two days had filled the scaffold, creating a new trachea that is, biologically speaking, Beyene’s own tissue. A 12-hour operation by an Italian surgeon specializing in trachea operations removed Beyene’s windpipe and all signs of the cancer and then replaced it with the new, lab-grown organ. That was a month ago. Today, Beyene is recovering well. Because the organ was grown from his own cells, there is no risk of his body rejecting it and no need for the harsh regimen of anti-rejection drugs that usually go hand [...]

Oral Cancer Foundation News Team - A2011-07-08T20:34:52-07:00July, 2011|Oral Cancer News|

New surgical approach can remove throat tumor and rebuild trachea

Source: www.news-medical.net Author: staff Using a novel surgical approach, it's possible to rebuild the trachea and preserve a patient's voice after removing an invasive throat tumor, according to a new report from Henry Ford Hospital in Detroit. This case study is the first of its kind to not only document a successful technique to create a fully functional trachea, or windpipe, but also report a rare type of malignant tumor in an adult's trachea. Most commonly, this type of tumor is seen in newborns and very rarely occurs in the neck, says lead study author Samer Al-Khudari, M.D., with the Department of Otolaryngology-Head & Neck Surgery at Henry Ford Hospital. "In this case, the patient's tumor had spread to the trachea, thyroid gland, muscles around the thyroid gland and nerves in the area," says Dr. Al-Khudari. According to head and neck cancer surgeon Tamer A. Ghanem, M.D., Ph.D., who led the Henry Ford surgical team, the easiest approach would have been to remove the trachea and the voice box, given the tumor's proximity to the larynx and other surrounding structures. With this method, however, the patient would no longer be able to speak or swallow normally. Instead, the surgical team took another approach. Using tissue and bone from the patient's arm, they were able to reconstruct the trachea, restoring airflow through the trachea and saving the patient's voice. "We had to think outside the box to not only safely remove the tumor, but to allow for optimum functional outcome," says [...]

Oral Cancer Foundation News Team - A2011-02-04T12:27:54-07:00January, 2011|Oral Cancer News|