scholarly journals Tracheoesophageal Puncture for Voice Restoration Following Laryngotracheal Separation

1994 ◽  
Vol 104 (9) ◽  
pp. 1163???1166 ◽  
Author(s):  
David H. Darrow ◽  
K. Thomas Robbins ◽  
Stephen N. Goldman
Keyword(s):  
Voice Restoration ◽  
Laryngotracheal Separation ◽  
Tracheoesophageal Puncture

Tracheoesophageal Voice Restoration following Laryngotracheal Separation Procedure

2005 ◽  
Vol 114 (8) ◽  
pp. 634-637 ◽  
Author(s):  
Rahul K. Shah ◽  
Elie E. Rebeiz
Keyword(s):  
The Other ◽  
Separation Procedure ◽  
Vocal Function ◽  
Secondary Procedure ◽  
Voice Restoration ◽  
Alaryngeal Speech ◽  
Laryngotracheal Separation ◽  
Life Threatening ◽  
Intractable Aspiration ◽  
Tracheoesophageal Puncture

Objectives: Laryngeal dysfunction leading to incompetence and intractable aspiration can be a life-threatening problem. Laryngotracheal separation (LTS) can be used to prevent aspiration, but results in aphonia. The options for alaryngeal speech following LTS are limited. Methods: We performed tracheoesophageal puncture (TEP) and insertion of a Blom-Singer valve in 3 patients in an attempt to restore their voice after LTS for chronic aspiration. Results: Two patients had intractable aspiration (5 and 14 years) after full-course radiotherapy for laryngeal cancer, and 1 patient had aspiration after a stroke. In the first patient TEP was done as a secondary procedure, and in the other 2 patients it was done at the time of the LTS. The TEP was successful in providing these patients with phonation ability after their LTS procedure. There was no morbidity from these procedures. Conclusions: Creation of a TEP after an LTS procedure is relatively simple and relatively safe, and allows for the control of aspiration while maintaining vocal function.

Tracheoesophageal Puncture for Alaryngeal Voice Restoration

1981 ◽  
Vol 90 (5) ◽  
pp. 492-494 ◽  
Author(s):  
Benjamin G. Wood ◽  
Melinda G. Rusnov ◽  
Harvey M. Tucker ◽  
Howard L. Levine
Keyword(s):  
Surgical Technique ◽  
Cleveland Clinic ◽  
Cleveland Clinic Foundation ◽  
Factors Affecting ◽  
Voice Restoration ◽  
Clinic Foundation ◽  
Communicative Disorders ◽  
Tracheoesophageal Puncture

Thirty-two tracheoesophageal punctures (TEP) were performed on 30 patients by The Cleveland Clinic Foundation Department of Otolaryngology and Communicative Disorders. In all cases, the Blom-Singer duckbill prosthesis was utilized for alaryngeal voice restoration. Ninety-three percent of patients were able to produce significantly better voice following TEP when compared to their preoperative mode of communication. The preoperative orientation/evaluation format, surgical technique, success-failure ratios, and possible factors affecting successful TEP voice restoration are examined.

Tracheoesophageal Puncture for Voice Restoration After Extended Laryngopharyngectomy

1989 ◽  
Vol 115 (3) ◽  
pp. 356-359 ◽  
Author(s):  
C. Juarbe ◽  
L. Shemen ◽  
R. Wang ◽  
V. Anand ◽  
R. Eberle ◽  
...  
Keyword(s):  
Voice Restoration ◽  
Tracheoesophageal Puncture

Voice Rehabilitation after Laryngectomy

2010 ◽  
Vol 2 (3) ◽  
pp. 231-236 ◽  
Author(s):  
Audrey B Erman ◽  
Daniel G Deschler
Keyword(s):  
Turning Point ◽  
Voice Rehabilitation ◽  
Past Century ◽  
Voice Restoration ◽  
Surgical Success ◽  
The Past ◽  
Surgical Options ◽  
Tracheoesophageal Puncture

Abstract Improvements in voice rehabilitation over the past century have paralleled the surgical success of laryngectomy. The establishment of the tracheoesophageal puncture marked a turning point in the development of successful and dependable voice rehabilitation. Surgical options include both primary and secondary placement of a tracheoesophageal puncture. Though complications, such as pharyngoesophageal spasm or prosthesis leakage may occur, patients should expect functional voice restoration after laryngectomy.

Tracheoesophageal puncture using a flexible gastroscope and a percutaneous endoscopic gastrostomy set

1997 ◽  
Vol 111 (5) ◽  
pp. 447-448 ◽  
Author(s):  
V. Singh ◽  
M. J. Brockbank ◽  
N. Flower ◽  
R. A. Frost
Keyword(s):  
Percutaneous Endoscopic Gastrostomy ◽  
Voice Restoration ◽  
Endoscopic Gastrostomy ◽  
Established Procedure ◽  
Rigid Endoscope ◽  
Tracheoesophageal Puncture ◽  
Flexible Gastroscope

AbstractTracheoesophageal puncture is an established procedure for voice restoration following laryngectomy. A method using a flexible gastroscope and a percutaneous endoscopic gastrostomy (PEG) set is described. This overcomes a number of problems and complications which may be encountered when using a rigid endoscope.

Italian Experience of Voice Restoration after Laryngectomy with Tracheoesophageal Puncture

1991 ◽  
Vol 100 (3) ◽  
pp. 206-210 ◽  
Author(s):  
Gianfranco Recher ◽  
Valentina Cristoferi ◽  
Gastone Pesavento ◽  
Alfio Ferlito
Keyword(s):  
Voice Restoration ◽  
Italian Experience ◽  
Tracheoesophageal Puncture

Management of the Embedded Tracheoesophageal Prosthesis: Retrograde Removal and Replacement

2020 ◽  
pp. 000348942096770
Author(s):  
Ciersten A. Burks ◽  
Allen L. Feng ◽  
Daniel G. Deschler
Keyword(s):  
Tracheal Wall ◽  
Small Opening ◽  
Voice Restoration ◽  
Common Wall ◽  
Coated Wire ◽  
The Common ◽  
Tracheoesophageal Puncture ◽  
The Wire ◽  
Retrograde Technique ◽  
Posterior Tracheal Wall

Objective: To describe the retrograde removal of a tracheoesophageal (TE) prosthesis embedded in the common wall between the trachea and esophagus with preservation of the original tracheoesophageal puncture (TEP) tract with subsequent placement of new tracheoesophageal prosthesis for voice restoration. Methods: The Blom-Singer TEP Set (InHealth Technologies, Carpinteria, CA) was used to facilitate this procedure. The coated wire leader cable was threaded through the small opening in the posterior tracheal wall and into the lumen of the old TE prosthesis. The wire was pulled through the mouth in retrograde fashion - bringing the old TE prosthesis out with it and dilating the existing TEP tract. A new prosthesis was then placed over the end of the wire and returned through the stoma, delivering the prosthesis through the TE tract and into the stoma. Results: Safe, voice restoration with avoidance of need for multiple procedures. Conclusion: Removal of an embedded prosthesis and simultaneous replacement of a new prosthesis was safely and efficiently achieved using a retrograde technique which maintained the patency of the prior TE tract and restored voice.

scholarly journals Primary versus secondary tracheoesophageal puncture: systematic review and meta-analysis

2017 ◽  
Vol 132 (1) ◽  
pp. 14-21 ◽  
Author(s):  
P D Chakravarty ◽  
A E L McMurran ◽  
A Banigo ◽  
M Shakeel ◽  
K W Ah-See
Keyword(s):  
Systematic Review ◽  
Complication Rate ◽  
Meta Analysis ◽  
Case Series ◽  
Current Evidence ◽  
Voice Rehabilitation ◽  
Pharyngocutaneous Fistula ◽  
Voice Restoration ◽  
Increased Risk ◽  
Tracheoesophageal Puncture

AbstractBackground:Tracheoesophageal puncture represents the ‘gold standard’ for voice restoration following laryngectomy. Tracheoesophageal puncture can be undertaken primarily during laryngectomy or in a separate secondary procedure. There is no current consensus on which approach is superior. The current evidence comparing primary and secondary tracheoesophageal puncture was assessed.Methods:A systematic review and meta-analysis of articles comparing outcomes for primary and secondary tracheoesophageal puncture after laryngectomy were conducted. Outcome measures were: voice success, overall complication rate and pharyngocutaneous fistula rate.Results:Eleven case series met the inclusion criteria, two prospective and nine retrospective. Meta-analysis did not demonstrate statistically significant differences in overall complication rate or voice outcomes, though it suggested a significantly increased risk of pharyngocutaneous fistula in primary compared to secondary tracheoesophageal puncture.Conclusion:Primary tracheoesophageal puncture is a safe and efficient approach for voice rehabilitation. However, secondary tracheoesophageal puncture should be preferred where there is a higher risk of pharyngocutaneous fistula.

Tracheoesophageal Puncture for Voice Restoration: Modification of the Blom-Singer Technique

1984 ◽  
Vol 92 (4) ◽  
pp. 418-423 ◽  
Author(s):  
Robert H. Ossoff ◽  
Cathy L. Lazarus ◽  
George A. Sisson
Keyword(s):  
Postoperative Period ◽  
Modified Technique ◽  
Puncture Site ◽  
Voice Restoration ◽  
Polyester Suture ◽  
Tracheoesophageal Puncture

We have used a modification of the Blom-Singer technique in our last 24 tracheoesophageal punctures, performed on 20 patients. At the time of puncture a surgical stent with an indwelling Dacron polyester suture is placed to form the fistula. Forty-eight to 72 hours later the stent is backed out of the puncture site but the suture is allowed to remain. The Blom-Singer duckbill prosthesis is fitted and taped in the routine fashion. The suture is left to traverse the tracheoesophageal tract until the time of discharge, when it is removed. At discharge the patient is given a Silastic dilator, to be used if the puncture site becomes too small to allow for insertion of the duckbill prosthesis. Seventeen of the 20 patients in this group obtained good voice. Six operations would have been failures because of the loss of the patient's prosthesis in the immediate postoperative period if the modified technique had not been used.

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