Document Detail

Tracheoesophageal puncture in the office setting with local anesthesia.
MedLine Citation:
PMID:  11465818     Owner:  NLM     Status:  MEDLINE    
Tracheoesophageal puncture (TEP) with voice prosthesis placement is currently the method of choice for vocal rehabilitation of patients who have undergone total laryngectomy. Occasionally, secondary TEP needs to be performed. We have used a TEP technique that is performed in the clinic setting with local anesthesia and no sedation. The purpose of this study was to review our technique and experience and to evaluate results, complications, and patients' acceptance of the procedure. We performed a retrospective chart review of the records of 14 patients who had undergone total laryngectomy and secondary TEP placement in the clinic setting. The procedure was well tolerated. The voice results were fair to good in 11 of 12 patients. There was 1 complication, a false passage between the trachea and the esophagus. Voicing was immediate in 12 of the 14 cases. We conclude that TEP can be performed in the office setting with local anesthesia. The voice results are excellent, and the procedure is well tolerated by the patient. Proper patient selection and regular follow-up by a speech-language pathologist are important.
S Desyatnikova; J J Caro; P E Andersen; J I Cohen; M K Wax
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  110     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-07-23     Completed Date:  2001-08-09     Revised Date:  2006-05-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  613-6     Citation Subset:  AIM; IM    
Department of Otolaryngology-Head and Neck Surgery, Oregon Health Sciences University, Portland 97201, USA.
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MeSH Terms
Ambulatory Surgical Procedures*
Anesthesia, Local*
Esophagus / surgery*
Intraoperative Complications / etiology
Laryngectomy / rehabilitation*
Larynx, Artificial*
Middle Aged
Physicians' Offices*
Punctures / instrumentation*
Retrospective Studies
Surgical Instruments
Trachea / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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