Kevin P Leahy1, Ralph P Tufano. 1. Department of Otorhinolaryngology, Head and Neck Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pa., USA. kevin.leahy @ uphs.upenn.edu
Abstract
BACKGROUND/AIMS: The purpose of this article was to present a novel technique for primary tracheoesophageal puncture (TEP) in patients undergoing stapler-assisted laryngectomy. METHODS: A case series of 10 consecutive patients treated with stapler-assisted laryngectomy that underwent primary TEP at the time of the initial surgery was conducted. The technique involves the use of a flexible esophagoscope and a modified Seldinger technique to safely create the TEP under direct visualization without disrupting the stapler closure. This series was performed at a single academic institution. The primary outcome measured was ability of alaryngeal speech. RESULTS: A total of 10 consecutive patients had the procedure done. All patients achieved alaryngeal speech and there were no complications. CONCLUSION: This method allows for a safe and efficient TEP creation at the time of stapler-assisted laryngectomy, obviating the need for secondary procedures, either in the office or operating room. Copyright 2010 S. Karger AG, Basel.
BACKGROUND/AIMS: The purpose of this article was to present a novel technique for primary tracheoesophageal puncture (TEP) in patients undergoing stapler-assisted laryngectomy. METHODS: A case series of 10 consecutive patients treated with stapler-assisted laryngectomy that underwent primary TEP at the time of the initial surgery was conducted. The technique involves the use of a flexible esophagoscope and a modified Seldinger technique to safely create the TEP under direct visualization without disrupting the stapler closure. This series was performed at a single academic institution. The primary outcome measured was ability of alaryngeal speech. RESULTS: A total of 10 consecutive patients had the procedure done. All patients achieved alaryngeal speech and there were no complications. CONCLUSION: This method allows for a safe and efficient TEP creation at the time of stapler-assisted laryngectomy, obviating the need for secondary procedures, either in the office or operating room. Copyright 2010 S. Karger AG, Basel.
Authors: R A Dedivitis; F T Aires; E G Pfuetzenreiter; M A F Castro; A V Guimarães Journal: Acta Otorhinolaryngol Ital Date: 2014-04 Impact factor: 2.124