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.
Original language | English (US) |
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Pages (from-to) | 124-126 |
Number of pages | 3 |
Journal | ORL |
Volume | 72 |
Issue number | 2 |
DOIs | |
State | Published - Jun 1 2010 |
Keywords
- Primary tracheoesophageal puncture
- Stapler-assisted laryngectomy
ASJC Scopus subject areas
- Otorhinolaryngology