Secondary Tracheoesophageal Puncture Using a KTP Laser

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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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Simplified technique of tracheoesophageal prosthesis placement at the time of secondary tracheoesophageal puncture (TEP).

OBJECTIVES Secondary tracheoesophageal (TE) puncture standardly involves placement of a catheter at time of TE fistula creation. We explore the feasibility of placement of the prosthesis at the time of TE puncture (TEP) obviating the need for a subsequent procedure to place the prosthesis. We describe the technique and evaluate the success and potential advantages. STUDY DESIGN Retrospective ...

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Secondary tracheoesophageal puncture using transnasal esophagoscopy in gastric pull-up reconstruction after total laryngopharyngoesophagectomy.

BACKGROUND There is debate about the optimal voice restoration method and technique for patients who have undergone total laryngopharyngectomy, esophagectomy, and gastric pull-up. The purpose of this study was to report a series of patients who underwent awake, secondary tracheoesophageal puncture (TEP) after this procedure. METHODS A retrospective chart review was performed at a tertiary ref...

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Insertion of Provox2 voice prosthesis using the anterograde technique immediately after the secondary tracheoesophageal puncture.

Insertion of a voice prosthesis through the tracheoesophageal puncture (TEP) is one way to restore the voice after total laryngectomy. The second generation Provox voice prosthesis is presently one of the most popular devices. Although TEP can be done primarily, there are many centres that prefer it to be done at a second stage for various reasons. However, secondary TEP for retrograde replacem...

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ژورنال

عنوان ژورنال: The Laryngoscope

سال: 2000

ISSN: 0023-852X

DOI: 10.1097/00005537-200009000-00033