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Tracheo-oesophageal puncture: a review of problems and complications

Published online by Cambridge University Press:  29 June 2007

R. J. N. Garth*
Affiliation:
Head and Neck Unit, Royal Marsden Hospital, Fulham Road, London.
A. McRae
Affiliation:
Head and Neck Unit, Royal Marsden Hospital, Fulham Road, London.
P. H. Rhŷs Evans
Affiliation:
Head and Neck Unit, Royal Marsden Hospital, Fulham Road, London.
*
ENT Department, Royal Devon and Exeter Hospital, Wonford, Exeter, Devon.

Abstract

Tracheo-oesophageal puncture now has a well established role and in several units is now the principal means of speech rehabilitation following laryngectomy. Although not a difficult procedure, there are a number of problems and complications that may be encountered. With proper management these can usually be overcome and a useful voice achieved.

This study looks at those problems in a series of 119 patients and discusses their management.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1991

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References

Baugh, R. F., Lewin, J. S., Baker, S. R. (1990) Vocal rehabilitation of tracheoesophageal speech failures. Head and Neck, 12: 6973.CrossRefGoogle ScholarPubMed
Blom, E. D. (1988) Tracheoesophageal valves: Problems, solutions and directions for the future. Head and Neck Surgery, 10: S142145.CrossRefGoogle Scholar
Cheesman, A. D., Knight, J., McIvor, J., Perry, A. (1986) Tracheo-oesophageal ‘puncture’ speech—an assessment for failed oesophageal speakers. Journal of Laryngology and Otology, 100: 191196.CrossRefGoogle Scholar
Hamaker, R. C., Singer, M. I., Blom, E. D., Daniels, H. A. (1985) Primary voice restoration at largyngectomy. Archives of Otolaryngology, 111: 182186.CrossRefGoogle Scholar
Rhŷs, Evans P. H. (1984) Speech rehabilitation following laryngectomy. Proceedings of the Moynihan Chirugical Society.Google Scholar
Rhŷs, Evans P. H. (1991) Tracheo-oesophageal puncture without tears—the forceps technique. Journal of Laryngology and Otology, 105: 748749.CrossRefGoogle Scholar
Singer, M. I., Blom, E. D., Hamaker, R. C. (1981) Further experience with voice restoration after total laryngectomy. Annals of Otology, Rhinology and Laryngology, 90: 498502.Google Scholar
Singer, M. I., Blom, E. D., Hamaker, R. C. (1986) Pharyngeal plexus neurectomy for alargyngeal speech rehabilitation. Laryngoscope, 96: 5053.CrossRefGoogle ScholarPubMed
Singer, M. I., Hamaker, R. C., Blom, E. D., Yoshida, G. Y. (1989 a) Applications of the voice prosthesis during laryngectomy. Annals of Otology, Rhinology and Laryngology, 98: 921925.CrossRefGoogle ScholarPubMed
Singer, M. I., Hamaker, R. C., Blom, E. D. (1989 b) Revision procedure for the tracheoesophageal puncture. Laryngoscope, 99: 761763.CrossRefGoogle ScholarPubMed
Sissons, G. A., Hurst, P. S., Goldman, M. (1981) Prosthetic devices in neoglottic surgery. Ear, Nose and Throat Journal, 60: 5561.Google Scholar
van Lith-Bijl, J. T., Zijlstra, R. J., Nahieu, H. S., Annyas, A. A., Schutte, H. K. (1990) A manometric study of the pharyngo-oesophageal segment during total laryngectomy. International voice restoration meeting. Charing Cross Hospital, September 1990.Google Scholar
Ward, P. H., Andrews, J. C., Mikel, R. A., Hanson, D. G., Monahan, G. P. (1988) Complications of medical and surgical approaches to voice restoration after total laryngectomy. Head and Neck Surgery, 10: 124128.CrossRefGoogle Scholar
Webster, P. M., Marshall, J. D. (1990) Surgeons reported attitudes and practices regarding alaryngeal speech. Annals of Otology, Rhinology, and Laryngology, 99: 197200.CrossRefGoogle ScholarPubMed
Wetmore, S. J., Johns, M. E., Baker, S. R. (1981) The Singer-Blom voice restoration procedure. Archives of Otolaryngology, 107: 674676.Google Scholar