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Tracheo-oesophageal puncture by retrograde passage of a gastroscope via mini-laparotomy and gastrotomy

Published online by Cambridge University Press:  29 June 2007

S. Loughran*
Affiliation:
Department of Otolaryngology Freeman Hospital, Newcastle-upon-Tyne, UK.
G. McKee
Affiliation:
Department of Otolaryngology Freeman Hospital, Newcastle-upon-Tyne, UK.
P. Carding
Affiliation:
Department of Speech and Language Therapy, Freeman Hospital, Newcastle-upon-Tyne, UK.
*
Address for correspondence: Mr Sean Loughran, Department of Otolaryngology, Freeman Hospital, Freeman Road, High Heaton, Newcastle-upon-Tyne NE7 7DN.

Abstract

Secondary tracheo-oesophageal puncture is frequently used for voice restoration after laryngectomy. A method utilizing a flexible gastroscope passed via a mini-laparotomy and gastrotomy in a retrograde manner is described in a patient where extensive pharyngeal resection made it impossible to cannulate the upper aerodigestive tract. The patient suffered minimal morbidity and produced reasonable speech.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

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References

Barkin, J. S., Hartford, J. D., Mikalov, A., Flescher, L. M. (1991) Creation of a tracheo-oesophageal fistula for voice restoration using a flexible fibreoptic endoscope. Gastrointestinal Endoscopy 37(4): 469470.CrossRefGoogle Scholar
Chan, H., Mesko, T., Fields, K., Barkin, J. (1997) An improved method of flexible endoscopic creation of a tracheo-oesophageal fistula for voice. Surgical Endoscopy 11(10): 10341035.CrossRefGoogle ScholarPubMed
Consentini, E. P., Sautner, T., Gnant, M., Winkelbauer, F., Teleky, B., Jakesz, R. (1998) Outcomes of surgical, percutaneous endoscopic, and radiological gastostomies. Archives of Surgery 133(10): 10761083.CrossRefGoogle Scholar
Garth, R. J. N., McRae, A., Rhys-Evans, P. H. (1991) Tracheo-oesophageal puncture: a review of problems and complications. Journal of Laryngology and Otology 105: 750754.Google Scholar
Hong, G. S., John, A. B., Theobald, D., Soo, K. C. (1995) Flexible endoscopic tracheo-oesophageal puncture under local anaesthetic. Journal of Laryngology and Otology 109: 10771079.Google Scholar
Jones, M., Santanello, S. O., Falcone, R. E. (1990) Percutaneous vs surgical gastrostomy. Journal of Parenteral and Enteral Nutrition 14(5): 533534.Google Scholar
Scott, J. S., de la Torre, R. A., Unger, S. W. (1991) Comparison of operative versus percutaneous endoscopic gastrostomy tube placement in the elderly. American Surgeon 57(5): 338340.Google ScholarPubMed
Silver, F. M., Gluckman, J. L., Donegan, J. O. (1985) Operative complications of tracheoesophageal puncture. Laryngoscope 95: 13601362.CrossRefGoogle ScholarPubMed
Singer, M. I., Blom, E. D. (1980) An endoscopic technique for restoration of voice after laryngectomy. Annals of Otology and Laryngology 89: 529533.CrossRefGoogle ScholarPubMed
Singh, V., Brockbank, M. J., Flower, N., Frost, R. A. (1997) Tracheo-oesophageal puncture using a flexible gastroscope and a percutaneous endoscopic gastrostomy set. Journal of Laryngology and Otology 111: 447448.Google Scholar
van Twisk, J. J., Brummer, R. J., Manni, J. J. (1998) Retrograde approach to pharyngo-oesophageal obstruction. Gastrointestinal Endoscopy 48(3): 296299.Google Scholar