In-clinic secondary tracheoesophageal puncture and voice prosthesis placement in laryngectomees
Autor: | E Ricci, E Seglie, A L Cavalot, G Riva, F Dagna |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
business.industry General surgery Laryngectomy Punctures Voice prosthesis Flexible esophagoscopy Prosthesis Implantation Trachea 03 medical and health sciences 0302 clinical medicine Esophagus Otorhinolaryngology 030220 oncology & carcinogenesis medicine Humans Surgery 030223 otorhinolaryngology business Voice rehabilitation Head and neck Larynx Artificial Tracheoesophageal Puncture |
Zdroj: | European annals of otorhinolaryngology, head and neck diseases. 135(5) |
ISSN: | 1879-730X |
Popis: | Secondary tracheoesophageal puncture (TEP) with voice prosthesis placement represents one of the possibility to restore vocal function after total laryngectomy. However, some patients have comorbidities that contraindicate general anesthesia. In our department, an in-clinic TEP procedure for retrograde voice prosthesis placement was developed. It allows the immediate placement of the prosthesis and the avoidance of the use of dilators. We described our technique with advantages and pitfalls. The Provox Vega Puncture Set was used. Our technique for in-clinic secondary TEP without general anesthesia or target controlled infusion was a safe and effective procedure. It allows the use of the traditional TEP set, with possibility of voice prosthesis placement after previous TEP closure. |
Databáze: | OpenAIRE |
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