Abstract
BackgroundAn enlarged tracheoesophageal puncture (TEP) site is a grave complication of voice prosthesis rehabilitation.Case presentationWe report a case of periprosthetic leakage with an enlarged tracheoesophageal fistula causing aspiration, not responding to conservative management and primary closure. Internal mammary artery perforator (IMAP) flap was subsequently used in the management. The flap was successfully taken up at the recipient site with no leak post-operatively as confirmed by barium swallow, thereby preventing further aspiration.ConclusionThough minor degrees of TEP leak usually respond to conservative management, the recalcitrant ones require active intervention which one should be aware of.
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