Tracheo‐oesophageal party wall thickness in laryngectomised patients in India: Implications for surgical voice restoration

Sayed, Suhail I.; Manikantan, Kapila; Khode, Shailesh; Jagade, Mohan; Kasbekar, Vimal; Shah, Rajen; Palav, R S; Nutting, Chris; Harrington, Kevin; Rhys‐Evans, Peter; Kazi, Rehan

doi:10.1002/jso.21427

Journal of Surgical Oncology

2009

DOI: 10.1002/jso.21427

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Tracheo‐oesophageal party wall thickness in laryngectomised patients in India: Implications for surgical voice restoration

Suhail I. Sayed

Kapila Manikantan

Shailesh Khode

et al.

Abstract: The study shows that Indian patients with a thin party wall require a smaller prosthesis size and it is advisable to measure the PWT intra-operatively. Tracheo-oesophageal PWT in laryngectomised patients in India: implications for surgical voice restoration.

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Cited by 3 publications

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“…1 The party wall thickness is generally 7 to 8 mm thick. 2 This information has led some clinicians to utilize size 8-or 10-mm prostheses as the standard size at puncture. 1 Measuring the party wall thickness has been described through the use calipers and modified guide wires.…”

mentioning

confidence: 99%

“…1 Measuring the party wall thickness has been described through the use calipers and modified guide wires. 2 Ultrasound has been utilized prior to TL for measuring TE wall thickness. 3 At this time, no consensus for sizing at puncture exists.…”

mentioning

confidence: 99%

“…The party wall thickness is generally 7 to 8 mm thick 2 . This information has led some clinicians to utilize size 8‐ or 10‐mm prostheses as the standard size at puncture 1 .…”

mentioning

confidence: 99%

“…This information has led some clinicians to utilize size 8‐ or 10‐mm prostheses as the standard size at puncture 1 . Measuring the party wall thickness has been described through the use calipers and modified guide wires 2 . Ultrasound has been utilized prior to TL for measuring TE wall thickness 3 .…”

mentioning

confidence: 99%

See 3 more Smart Citations

Use of Ultrasound for Sizing Tracheoesophageal Puncture Prostheses

Smith

Thimmappa

Jones³

et al. 2017

Otolaryngol.--head neck surg.

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Tracheoesophageal puncture (TEP) with voice prosthesis placement is the gold standard voice rehabilitation following total laryngectomy. Ultrasound may be useful to determine tracheoesophageal wall thickness, guiding prosthesis choice. Therefore, 14 patients undergoing total laryngectomy and TEP or prosthesis change with 16-mHz ultrasound measurement of the posterior tracheal wall were included. Seven patients underwent secondary TEP, 3 primary TEP, and 4 TEP changes. Six patients underwent flap reconstruction, while 8 patients were closed primarily. Average party wall thickness was 9.6 ± 1.7 mm, without a difference ( P = .08) between primary closure (10.3 ± 1.7 mm) and flap reconstruction (8.6 ± 1.4 mm). Change from the hypothesized sizing was noted in 11 patients (79%). Prosthesis size did not correlate with age (-0.19, P = .51), height (-0.12, P = .69), weight (0.26, P = .38), body mass index (0.22, P = .46), or flap status (-0.48, P = .079). These data suggest that ultrasound is beneficial in patients with distorted or less predictable anatomy (eg, flap reconstruction) but also important for those patients undergoing primary closure.

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mentioning

confidence: 99%

mentioning

confidence: 99%

“…The party wall thickness is generally 7 to 8 mm thick 2 . This information has led some clinicians to utilize size 8‐ or 10‐mm prostheses as the standard size at puncture 1 .…”

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Use of Ultrasound for Sizing Tracheoesophageal Puncture Prostheses

Smith

Thimmappa

Jones³

et al. 2017

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…These problems should be anticipated at an early time so that efforts in troubleshooting them can be undertaken using a methodical treatment plan. The efficacy of using the prosthesis for the population in developing countries with a lean body constitution needs further evaluation 10 …”

mentioning

confidence: 99%

Post laryngectomy speech and voice rehabilitation: past, present and future

Kazi

Sayed

Dwivedi

2010

ANZ Journal of Surgery

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pelvic surgery. 4 Consequently, patients with previous pelvic surgery and history of major inflammatory pelvic disease or acute cholecystectomy were also excluded from the hybrid NOTES approach. So we started offering the hybrid NOTES approach to women over 40 years old with no previous pelvic surgery or history of inflammatory pelvic disease. SILS was offered to male patients and women excluded from the hybrid NOTES approach being previous surgery in the upper right quadrant and gallbladder emphiema the main contraindications. At our department, nine female patients met the inclusion criteria to undergo hybrid transvaginal cholecystectomy. However, three preferred the SILS approach because of concerns about safety of the NOTES technique and potential for infectious complications related to the transvaginal approach. Peterson et al. 5 surveyed 100 women who were given a written description of MIS and NOTES surgery along with a 10-question survey exploring their concerns and opinions regarding transvaginal surgery. Women have a positive perception of transvaginal procedures and will want such procedures if they are found to be equivalent to laparoscopic surgeries, but infectious were a major concern for women who would not want transvaginal surgery as showed in our limited experience. In conclusion, NOTES and SILS are promising techniques which need new and dedicated instrumentations to reduce technical limitations.

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Intraoperative Tracheoesophageal Partywall Thickness (PWT) Measurement in Laryngectomy Patients Using Modified PROVOX Guidewire

Sayed

Chaukar

Chaturvedi

et al. 2012

Indian J Otolaryngol Head Neck Surg

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Post laryngectomy voice rehabilitation using primary tracheoesophageal puncture (TEP) and voice prosthesis insertion is considered the "gold standard" method. No special effort is taken to measure the tracheoesophageal partywall thickness before inserting voice prosthesis. TE puncture related problems (peri-prosthetic leakage) are commonly seen in our population as compared to device failures (central leak). An accurate prosthesis inserted primarily may prevent the development of peri-prosthetic leakage. We surmise that tracheoesophageal party wall thickness (PWT) to be an important factor determining this phenomenon. There is still no consensus on the size of the prosthesis to be inserted during a primary TEP. To cater this, we propose a simple, quick and accurate method of measuring tracheoesophageal PWT intraoperatively. This method will guide us to determine an accurate prosthesis size which can be inserted during primary TEP. We also propose that this method will prevent future TE puncture related problems.

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Tracheo‐oesophageal party wall thickness in laryngectomised patients in India: Implications for surgical voice restoration

Abstract: The study shows that Indian patients with a thin party wall require a smaller prosthesis size and it is advisable to measure the PWT intra-operatively. Tracheo-oesophageal PWT in laryngectomised patients in India: implications for surgical voice restoration.

Cited by 3 publications

References 18 publications

Use of Ultrasound for Sizing Tracheoesophageal Puncture Prostheses

Use of Ultrasound for Sizing Tracheoesophageal Puncture Prostheses

Post laryngectomy speech and voice rehabilitation: past, present and future

Intraoperative Tracheoesophageal Partywall Thickness (PWT) Measurement in Laryngectomy Patients Using Modified PROVOX Guidewire

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