Unidad de Atención al Paciente Traqueostomizado. Una solución innovadora desde Otorrinolaringología con carácter transversal para el hospital

Sánchez‐Gómez, Serafín; Tena-García, Beatriz; Martín-Jiménez, Daniel-Iván; Cendrero, Marta Álvarez; Entrena, Santiago Cuello; González, Nuria López; Melgar, Julissa Vizcarra; Molina-Fernández, Elena; Gallego, Rocío Tabernero; Guerrero, Juan Lorente; Palacios-García, José María

doi:10.1016/j.otorri.2022.04.005

Cited by 1 publication

(2 citation statements)

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“…Since the first laryngectomies described 150 years ago [ 5 ], one of the most important goals of research in this field has been to compensate for this loss, improving patient support and comprehensive care [ 6 , 7 , 8 , 9 ]. Tracheoesophageal voice rehabilitation is the current method of rehabilitation of choice or gold standard therapy [ 10 ], with a 95% long-term success rate and vocal quality ranging from fair to excellent in 88% of cases [ 9 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…This intervention involves the complete removal of the larynx and the creation of a permanent respiratory stoma, resulting in the loss of the physiological ability for phonation, which is the most significant sequel of total laryngectomy. Since the first laryngectomies described 150 years ago [5], one of the most important goals of research in this field has been to compensate for this loss, improving patient support and comprehensive care [6][7][8][9]. Tracheoesophageal voice rehabilitation is the current method of rehabilitation of choice or gold standard therapy [10], with a 95% longterm success rate and vocal quality ranging from fair to excellent in 88% of cases [9,11].…”

Section: Introductionmentioning

confidence: 99%

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Evidence-Based Recommendations in Primary Tracheoesophageal Puncture for Voice Prosthesis Rehabilitation

Mayo-Yáñez,

Klein-Rodríguez,

López-Eiroa

et al. 2024

Healthcare

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Head and neck cancer, the seventh most common cancer worldwide, often affects the larynx, with a higher incidence in men. Total laryngectomy, a common treatment, results in the loss of phonation, and tracheoesophageal voice rehabilitation is the current rehabilitation method of choice. Despite ongoing debates regarding the timing of tracheoesophageal puncture (TEP), a crucial procedure for voice prosthesis placement, the secondary puncture continues to be the preferred choice in the majority of cases. This underscores the persistent controversy and the absence of consensus in this field. The aim of this manuscript was to define evidence-based recommendations regarding the procedure of primary TEP with voice prosthesis placement, establish the conditions and requirements for performing primary TEP, determine the indications and contraindications of primary TEP, as well as to define the complications and management of primary TEP. A total of 19 statements were formulated, with 78.95% of them having a Level of Evidence 4 and a Grade of Recommendation C. There is not sufficient evidence comparing the outcomes of primary TEP versus secondary TEP. Future studies with robust methodologies are needed to clarify the role of primary and secondary TEP in the rehabilitation of patients undergoing total laryngectomy.

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