Tracheoesophageal Puncture Outcomes at a Safety Net Hospital.

Autor: Palmer TT; Department of Otolaryngology-Head and Neck Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA., Hopper SJ; School of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA., Murray MC; Department of Otolaryngology-Head and Neck Surgery, Division of Speech-Language Pathology, University of Mississippi Medical Center, Jackson, Mississippi, USA., Ho J; School of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA., Oglesby KR; Department of Otolaryngology-Head and Neck Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA., Sanford P; Department of Otolaryngology-Head and Neck Surgery, Division of Speech-Language Pathology, University of Mississippi Medical Center, Jackson, Mississippi, USA., Paul O; Department of Otolaryngology-Head and Neck Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA., Alston JS; Department of Otolaryngology-Head and Neck Surgery, Division of Speech-Language Pathology, University of Mississippi Medical Center, Jackson, Mississippi, USA., Jefferson GD; Department of Otolaryngology-Head and Neck Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA., Jackson LL; Department of Otolaryngology-Head and Neck Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA., Kane AC; Department of Otolaryngology-Head and Neck Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Jazyk: angličtina
Zdroj: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2024 Dec 18. Date of Electronic Publication: 2024 Dec 18.
DOI: 10.1002/ohn.1095
Abstrakt: 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. Within the study population, 53.4% utilized their TEP, including 52% of primary and 71.4% of secondary TEPs. TEP-related complication occurred in 50.8%, including 50.8% of primary and 50% of secondary TEPs. Secondary TEP was less likely in Black versus White patients, and more likely in patients undergoing pharyngectomy. Older patients and those with TEP complications were less likely to utilize TEP. Our study, performed in a TL population of predominantly lower socioeconomic status, showed high complication rates and low rates of utilization overall. Our findings suggest secondary TEP may be favorable to allow increased pre-operatively counseling and patient healing prior to procedure.
(© 2024 American Academy of Otolaryngology–Head and Neck Surgery Foundation.)
Databáze: MEDLINE
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