title: Newer technique of tracheoesophageal fistula for vocal rehabilitation after total laryngectomy.
abstract: In 1982, we published a new technique to create a tracheoesophageal (TE) fistula, using the combination of an endotracheal tube and a flexible fiberoptic nasopharyngolaryngoscope. An even more simple technique using a fenestrated metal Yankauer Tonsillar suction is now introduced. This technique allows for the TE fistula to be made by any level of the tracheo-esophageal junction. It is easily done with topical and local anesthesia with the patient sitting on the otolaryngology examination chair. The method described has been used in 25 consecutive cases with no complications.
mesh_terms: D000368:Aged; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D007831:Larynx, Artificial; D008297:Male; D008875:Middle Aged; D013071:Speech, Alaryngeal / Q000379:methods*; D014132:Trachea / Q000601:surgery*