In-Office Secondary Tracheoesophageal Puncture with Immediate Prosthesis Placement.

نویسندگان

  • Tiffany A Glazer
  • Taha Meraj
  • Teresa H Lyden
  • Matthew E Spector
چکیده

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 the puncture, damage to the posterior esophageal wall, return visit for prosthesis placement, and an irregular puncture site. We present a novel and effective technique for in-office secondary TEP that features immediate placement of a voice prosthesis via the Seldinger technique to prevent false passage and that includes visualization with a transnasal esophagoscope (TNE).

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عنوان ژورنال:
  • Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

دوره 155 2  شماره 

صفحات  -

تاریخ انتشار 2016