Office-based tracheoesophageal puncture: Updates in techniques and outcomes

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In-Office Secondary Tracheoesophageal Puncture with Immediate Prosthesis Placement.

T racheoesophageal puncture (TEP) is the preferred method for voice restoration following total laryngectomy. While several techniques for secondary puncture have been described, most require general anesthesia or intravenous sedation. Techniques for in-office, unsedated secondary TEP have been developed but are limited due to patient discomfort, inability to maintain direct visualization of th...

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Secondary tracheoesophageal puncture with in-office transnasal esophagoscopy.

OBJECTIVE To evaluate the outcomes of voice restoration using office-based transnasal esophagoscopy (TNE) to guide placement of the secondary tracheoesophageal puncture (TEP). DESIGN Retrospective chart review. SETTING Two tertiary care medical centers. PATIENTS The study included 39 patients who underwent the TNE-TEP procedure from January 2004 to December 2008. MAIN OUTCOME MEASURES C...

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Tracheoesophageal puncture outcomes and predictors of success in laryngectomised patients.

INTRODUCTION Prosthetic voice restoration has been widely used for vocal rehabilitation in laryngectomised patients. The objectives of this study were to examine success rates, predictors of success and complications for our patients who had undergone tracheoesophageal punctures (TEPs) and voice prosthesis placement after laryngectomy. To our knowledge, this is the first analysis of the use and...

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New device for single-stage in-office secondary tracheoesophageal puncture: animal studies.

BACKGROUND A new device is described for secondary tracheoesophageal puncture (TEP). We hypothesize that the device can be used to create the puncture, size, and insert the voice prosthesis in antegrade fashion in a single procedure suitable for office-based use. METHODS A measurement and insertion device (MAID) was designed with the hypothesis in mind and tested on 3 pigs while they were und...

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OBJECTIVES/HYPOTHESIS The purpose of this study was to determine the rate of complications in the immediate postoperative period following primary tracheoesophageal puncture (TEP) after salvage laryngectomy. STUDY DESIGN Retrospective. METHODS A retrospective review was done of 26 patients who underwent primary TEP with salvage total laryngectomy. To minimize variables, the patients include...

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ژورنال

عنوان ژورنال: American Journal of Otolaryngology

سال: 2014

ISSN: 0196-0709

DOI: 10.1016/j.amjoto.2014.04.003