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Tracheoesophageal Puncture Outcomes at a Safety Net Hospital.
Otolaryngol Head Neck Surg
December 2024
Department of Otolaryngology-Head and Neck Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Tracheoesophageal puncture (TEP) is the gold standard for voice rehabilitation after total laryngectomy (TL). Retrospective analysis was performed of TEP outcomes in patients between 2013 and 2020 at a single tertiary hospital. TEP was performed primarily in 79%, secondarily in 6%, and not placed in 15% of 226 patients.
View Article and Find Full Text PDFTracheoesophageal puncture and quality of life after total laryngectomy: A systematic review and meta-analysis.
Laryngoscope Investig Otolaryngol
December 2024
Anne Burnett Marion School of Medicine, Texas Christian University Fort Worth Texas USA.
Objective: Total laryngectomy (TL) is a standard induction treatment for laryngeal cancer. Patients have shown decreased quality of life (QOL) following laryngectomy potentially due to its impact on communication. This study is a systematic review of the effects of TEP on QOL in TL patients.
View Article and Find Full Text PDFPatient Perspectives in Postlaryngectomy Communication Rehabilitation and Outcomes.
Otolaryngol Head Neck Surg
November 2024
Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA.
Objective: To evaluate patient-reported outcomes in postlaryngectomy communication rehabilitation.
Study Design: Cross-sectional survey study.
Setting: (a) Patients who underwent laryngectomy at a single institution and (b) members of the International Association of Laryngectomees (IAL).
TEP in the ER: After Hours Tracheoesophageal Prosthesis Management for the Otolaryngologist.
Ann Otol Rhinol Laryngol
November 2024
Department of Otolaryngology-Head & Neck Surgery, Winship at Emory Healthcare, Atlanta, GA, USA.
Background: Tracheoesophageal voice puncture and prosthesis (TEP) is a common method of voice restoration following total laryngectomy. A variety of complications, both minor and major, can be associated with the TEP and require timely intervention/management. Some of those complications include premature leakage, periprosthetic leakage, granulation tissue growth, TEP dislodgement, or embedding of the TEP.
View Article and Find Full Text PDFChest Tube Placement of Secondary Tracheoesophageal Voice Prosthesis: Overcoming Challenging Anatomy in the Laryngectomy Patient.
J Pers Med
September 2024
Department of Otolaryngology, School of Medicine, Emory University, Atlanta, GA 30322, USA.
Article Synopsis
- - Total laryngectomy is performed to treat advanced larynx cancer, and patients often require rehabilitation for communication, typically using a tracheoesophageal voice prosthesis (TEP) after treatment completion.
- - Traditional TEP placement techniques can be challenging for patients with neck issues like kyphosis or trismus, but a new method using a chest tube and flexible scope has proven successful for these patients.
- - The described technique has shown no failed placements or complications, making it suitable for those with difficult anatomical conditions while minimizing neck extension during the procedure.
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