Definitive Closure of the Tracheoesophageal Puncture Site after Oncologic Laryngectomy: A Systematic Review and Meta-Analysis

Autor: Joseph M. Escandón, Arbab Mohammad, Saumya Mathews, Valeria P. Bustos, Eric Santamaría, Pedro Ciudad, Hung-Chi Chen, Howard N. Langstein, Oscar J. Manrique
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Archives of Plastic Surgery, Vol 49, Iss 05, Pp 617-632 (2022)
Druh dokumentu: article
ISSN: 2234-6163
2234-6171
DOI: 10.1055/s-0042-1756347
Popis: Tracheoesophageal puncture (TEP) and voice prosthesis insertion following laryngectomy may fail to form an adequate seal. When spontaneous closure of the fistula tract does not occur after conservative measures, surgical closure is required. The purpose of this study was to summarize the available evidence on surgical methods for TEP site closure. A comprehensive search across PubMed, Web of Science, SCOPUS, and Cochrane was performed to identify studies describing surgical techniques, outcomes, and complications for TEP closure. We evaluated the rate of unsuccessful TEP closure after surgical management. A meta-analysis with a random-effect method was performed. Thirty-four studies reporting on 144 patients satisfied inclusion criteria. The overall incidence of an unsuccessful TEP surgical closure was 6% (95% confidence interval [CI] 1–13%). Subgroup analysis showed an unsuccessful TEP closure rate for silicone button of 8% (95% CI
Databáze: Directory of Open Access Journals
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