Tracheo-oesophageal puncture: a review of problems and complications

Garth, R. J. N.; McRae, Alexis; Evans, Peter H.

doi:10.1017/s0022215100117219

Cited by 56 publications

(50 citation statements)

References 12 publications

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“…The degree of use of tracheoesophageal speech paraesophageal abscesses, esophageal perforations and stenosis, cellulitis, cervical spine fractures, osteomyelitis that luckily are rare [12] (16 % in our study group and 18 % in the control group). Nonetheless, even in this group of patients, the choice of the rehabilitation method that gives the best vocal result should point towards the voice prosthesis.…”

Section: Discussionmentioning

confidence: 58%

Post laryngectomy speech rehabilitation outcome in elderly patients

Cocuzza

Bonfiglio

Grillo

et al. 2013

Eur Arch Otorhinolaryngol

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The aim of our work has been to evaluate the different options of tracheoesophageal voice rehabilitation in over 70-year-old patients, who had undergone laryngectomy, assessing advantages and drawbacks of this method of vocal recovery. A retrospective study has been carried out. This has included 40 subjects, all aged more than 70 years old, who have been referred to tracheoesophageal voice rehabilitation. It has been realized a phonatory fistula between trachea and esophagus with prosthesis positioning by means of a primary puncture in 18 cases and it has been realized a secondary puncture in 22 cases. The results gathered in these patients were compared with data obtained from a group made of 39 patients, less than 70 years of age that therefore represented our control group. In primary tracheoesophageal puncture (TEP), the short-term success was 67 %, while in the 22 cases who underwent secondary TEP, the short-term success was 64 %. After 2 years from TEP, the long-term success was 82.5 %. In the control group, the short-term success was 65 % in primary TEP and 73 % in secondary TEP. After 2 years from TEP, the long-term success was 77 %. The evaluation of the results has shown the absence of a statistically significant difference both as regards complications incidence, during and after surgery (p [ 0.9) and as regards overall success ratio of prosthesis implants between the two groups (p [ 0.7). The possibilities of tracheoesophageal recovery of elderly patients do not show dissimilarities in comparison with the results in younger subjects.

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Section: Discussionmentioning

confidence: 58%

Post laryngectomy speech rehabilitation outcome in elderly patients

Cocuzza

Bonfiglio

Grillo

et al. 2013

Eur Arch Otorhinolaryngol

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“…Three patients required surgical fistula closure by interposing a pectoralis major myocutaneous flap. Postoperative radiotherapy does not appear to cause an increase in frequency of complications related to TEP [3,8], such as enlargement of the fistula. A non-significant higher number of fistular enlargements was found.…”

Section: Discussionmentioning

confidence: 99%

Surgical voice restoration after total laryngectomy: long-term results

Ramı́rez

Doménech

Durbán

et al. 2001

European Archives of Oto-Rhino-Laryngology

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Tracheoesophageal puncture (TEP) with a voice prosthesis has been the preferred treatment for speech rehabilitation of total laryngectomies at the Dr. Peset Hospital since 1984. This study reviews 350 consecutive patients over a 15-year period. There were 334 patients with primary and 16 with secondary TEP. Long-term tracheoesophageal speech was achieved in approximately 70% of our patients. Problems related to or affecting TEP for voice restoration were studied. The different types of problems identified occurred in proportions ranging from 0.6% to 18%. Most of them were easily managed, but problems such as salivary leakage and dislodging of the prosthesis led to tracheoesophageal tract closure in 30% of the patients.

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“…It may not become apparent until a few weeks after TOP. Cervical cellulitis complicating TOP has been described by Wood et al [37] and Garth et al [38] and para-oesophageal abscess [39,40] in the tracheo-oesophageal space may be an early sequela. Abscess formation in the retropharyngeal space with parapharyngeal extension resulting in carotid artery rupture 2 months after TOP has been described [41].…”

Section: Introductionmentioning

confidence: 99%

Surgical complications of tracheo-oesophageal puncture and speech valves

Malik

Bruce

Cherry

2007

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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The positive impact of surgical voice restoration on quality of life in the alaryngeal patient considerably outweighs the complications commonly associated with the procedure. Greater knowledge of the potential problems should continue to reduce the complication rate. Primary puncture, in a patient selected and subsequently managed in a multidisciplinary environment, would appear to provide the best outcome for the patient.

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Tracheo-oesophageal puncture: a review of problems and complications

Cited by 56 publications

References 12 publications

Post laryngectomy speech rehabilitation outcome in elderly patients

Post laryngectomy speech rehabilitation outcome in elderly patients

Surgical voice restoration after total laryngectomy: long-term results

Surgical complications of tracheo-oesophageal puncture and speech valves

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