The Story of an Uncommon Aspiration, ''Where is the Voice Prosthesis?''

Tracheo-esophageal speech prosthesis are devices used for voice rehabilitation of patients with total laryngectomy. This device is placed between the trachea posterior wall and the esophagus frontal wall by a surgical procedure. Although there are various complications related to the use of the device, aspiration of the device is a rare situation. A patient undergoing total laryngectomy 14 years ago, when woken up one morning he noticed that the voice prosthesis was not in place and he applied to the otorhinolaryngology clinic. The patient had no respiratory complaints. The patient was not aware that he had aspirated his prosthesis. Hyperlucency at the right lung was detected on chest film. Diagnostic flexible fiberoptic bronchoscopy showed Provox voice prosthesis at the main carina. The device was removed with forceps without complication. In conclusion, Even without respiratory complaints, the possibility of aspiration with lost voice prosthesis in patients should always be considered.