Technique of tracheoesophageal puncture using flexible fiberoptic esophagoscopy

Mazzara, Carl A.; Baredes, Soly

doi:10.1288/00005537-199308000-00017

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Cited by 3 publications

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“…Since the introduction of tracheo-oesophageal valves, various authors have modified the original puncture technique for problem patients or simplified the procedure (Maniglia, 1982;Mohr etal., 1983;Ossoff etal., 1984;Spofford etal., 1984;Maniglia, 1985;Parker, 1985;Singh, 1988;Mazzara and Baredes, 1993). One of our laryngectomees who had a good voice using a Blom-Singer valve unfortunately lost his tracheo-oesophageal fistula and was not medically fit enough for a further general anaesthetic.…”

Section: Introductionmentioning

confidence: 98%

Technique of tracheo-oesophageal puncture under local anaesthesia

1994

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Section: Introductionmentioning

confidence: 98%

Technique of tracheo-oesophageal puncture under local anaesthesia

1994

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Safe and simple method for secondary tracheoesophageal puncture using curved forceps

et al. 2008

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Insertion of Provox^®2 voice prosthesis using the anterograde technique immediately after the secondary tracheoesophageal puncture

Lam

Wong

2005

J. Laryngol. Otol.

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Insertion of a voice prosthesis through the tracheoesophageal puncture (TEP) is one way to restore the voice after total laryngectomy. The second generation Provox voice prosthesis is presently one of the most popular devices. Although TEP can be done primarily, there are many centres that prefer it to be done at a second stage for various reasons. However, secondary TEP for retrograde replacement of prosthesis can be difficult and general anaesthesia is very often necessary. Moreover, the presence of neck stiffness and fibrosis from the surgery or previous radiotherapy could affect the neck extension for proper positioning of the trocar. Similarly, it is difficult to insert the prosthesis if there is stenosis at the pharyngoesophageal segment. We describe a technique in which creation of secondary TEP and insertion of Provox2 is done with local anaesthesia under the same setting. The procedure is well tolerated and can be safely performed on an out-patient basis.

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Technique of tracheoesophageal puncture using flexible fiberoptic esophagoscopy

Cited by 3 publications

References 7 publications

Technique of tracheo-oesophageal puncture under local anaesthesia

Technique of tracheo-oesophageal puncture under local anaesthesia

Safe and simple method for secondary tracheoesophageal puncture using curved forceps

Insertion of Provox^®2 voice prosthesis using the anterograde technique immediately after the secondary tracheoesophageal puncture

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Technique of tracheoesophageal puncture using flexible fiberoptic esophagoscopy

Cited by 3 publications

References 7 publications

Technique of tracheo-oesophageal puncture under local anaesthesia

Technique of tracheo-oesophageal puncture under local anaesthesia

Safe and simple method for secondary tracheoesophageal puncture using curved forceps

Insertion of Provox®2 voice prosthesis using the anterograde technique immediately after the secondary tracheoesophageal puncture

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Product

Resources

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Insertion of Provox^®2 voice prosthesis using the anterograde technique immediately after the secondary tracheoesophageal puncture