Outcomes of primary and secondary tracheoesophageal puncture: A 16-year retrospective analysis Journal Article
| Authors: | Cheng, E.; Ho, M.; Ganz, C.; Shaha, A.; Boyle, J. O.; Singh, B.; Wong, R. J.; Patel, S.; Shah, J.; Branski, R. C.; Kraus, D. H. |
| Article Title: | Outcomes of primary and secondary tracheoesophageal puncture: A 16-year retrospective analysis |
| Abstract: | The current study retrospectively reviewed the cases of 68 patients who had undergone total laryngectomy and tracheoesophageal puncture (TEP) over a 16-year period. Fifty-one patients underwent primary TEP and 17 underwent secondary TEP. Nearly 80% of patients who received TEP at the time of laryngectomy achieved excellent voice quality perceptually. In contrast, only 50% of secondary TEP patients achieved excellent voice ratings. This difference was statistically robust (p = 0.03). Although both surgical and prosthesis-related complications occurred more frequently following primary TEP, statistically significant differences were not achieved. Neither pre- nor postoperative radiotherapy had any effect on voice restoration or complication rates. Based on these data, primary TEP may be preferable for several reasons, including a greater likelihood of successful voice restoration, a shorter duration of postoperative aphonia, and the elimination of the need for a second operation and interim tube feedings. |
| Keywords: | adult; treatment outcome; aged; aged, 80 and over; middle aged; retrospective studies; major clinical study; laryngectomy; adjuvant therapy; radiotherapy, adjuvant; outcome assessment; radiotherapy; retrospective study; postoperative complication; postoperative complications; voice; intermethod comparison; rating scale; prosthesis; larynx; esophagus; trachea; voice quality; puncture; punctures; prosthesis failure; larynx prosthesis; esophagus speech; speech rehabilitation; tracheoesophageal puncture; larynx, artificial; speech, alaryngeal |
| Journal Title: | Ear, Nose & Throat Journal |
| Volume: | 85 |
| Issue: | 4 |
| ISSN: | 0145-5613 |
| Publisher: | Vendome Group Llc |
| Date Published: | 2006-04-01 |
| Start Page: | 262 |
| End Page: | 267 |
| Language: | English |
| PUBMED: | 16696362 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 12" - "Export Date: 4 June 2012" - "CODEN: ENTJD" - "Source: Scopus" |
