Management of leaking tracheoesophageal puncture with hyaluronic acid injection.

Background: 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.

Methods: We describe a method for managing leakage around voice prosthesis or persistent TEP using hyaluronic acid injection.

Peritoneal Dialysis Complicated by Pleuroperitoneal Communication and Hydrothorax.

Background: Hydrothorax is an uncommon but well-recognized complication of peritoneal dialysis. It is a potentially serious condition that frequently requires cessation of peritoneal dialysis and permanent transition to hemodialysis. Hydrothorax is produced by movement of peritoneal dialysate through pleuroperitoneal fistulas.