AI Article Synopsis
- Primary fit tracheoesophageal puncture (TEP) is commonly used for patients without prior radiation, but its efficacy during salvage laryngectomy is unclear.
- A study analyzed 134 patients who had laryngectomy with primary fit TEP from 2012 to 2018, examining complications and speech/swallow outcomes between primary and salvage laryngectomy groups.
- The findings revealed that while salvage laryngectomy had a higher rate of peristomal dehiscence, other complications were similar between groups, suggesting primary fit TEP is a safe choice for patients seeking a voice prosthesis post-salvage laryngectomy.
Article Abstract
Background: Primary fit tracheoesophageal puncture (TEP) is widely preferred for individuals who have not undergone prior radiation. However, there is no consensus on the relative utility of primary-fit TEP in the setting of salvage laryngectomy.
Methods: A retrospective, single-center review was conducted of individuals undergoing laryngectomy with primary fit TEP between 2012 and 2018. Multivariable analysis was conducted to compare short-term and long-term complications, as well as speech and swallowing outcomes, of those who underwent primary versus salvage laryngectomy.
Results: In this study, 134 patients underwent total laryngectomy with primary fit TEP. Aside from a higher rate of peristomal dehiscence (13.1% vs. 1.4%) found in the salvage group, there was no difference in incidence of all other complications, including pharyngocutaneous fistula formation. The groups had comparable speech and swallow outcomes.
Conclusion: Primary fit TEP is a safe and effective surgical choice for individuals undergoing salvage laryngectomy who desire a voice prosthesis.
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| http://dx.doi.org/10.1002/hed.27788 | DOI Listing |
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