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- Title
Outcomes of primary and secondary tracheoesophageal puncture: A 16-year retrospective analysis.
- Authors
Cheng, Elaine; Ho, Margie; Ganz, Cindy; Shaha, Ashok; Boyle, Jay O.; Singh, Bhuvanesh; Wong, Richard J.; Patel, Snehal; Shah, Jatin; Branski, Ryan C.; Kraus, Dennis H.
- Abstract
The current study retrospectively reviewed the cases of 68 patients who had undergone total laryngectomy and tracheoesophageal puncture (TEP) over a 16-year period. Fifty-one patients underwent primary TEP and 17 underwent secondary TEP. Nearly 80% of patients who received TEP at the time of laryngectomy achieved excellent voice quality perceptually. In contrast, only 50% of secondary TEP patients achieved excellent voice ratings. This difference was statistically robust (p = 0.03). Although both surgical and prosthesis-related complications occurred more frequently following primary TEP, statistically significant differences were not achieved. Neither pre- nor postoperative radiotherapy had any effect on voice restoration or complication rates. Based on these data, primary TEP may be preferable for several reasons, including a greater likelihood of successful voice restoration, a shorter duration of postoperative aphonia, and the elimination of the need for a second operation and interim tube feedings.
- Subjects
TRACHEA; ESOPHAGUS diseases; LARYNGECTOMY; LARYNGEAL surgery; WOUNDS &; injuries
- Publication
ENT: Ear, Nose & Throat Journal, 2006, Vol 85, Issue 4, p262
- ISSN
0145-5613
- Publication type
Article
- DOI
10.1177/014556130608500417