title: An improved method of flexible endoscopic creation of tracheoesophageal fistula for voice restoration.
abstract: We present improvements of a previously reported method of tracheoesophageal puncture for voice restoration in postlaryngectomy patients. Our method utilizes a flexible endoscope to enable the tracheoesophageal puncture to be made under direct visualization using only local anesthesia and intravenous sedation. After 3 days, the created tracheoesophageal fistula tract is mature enough to allow placement of a voice prosthesis in the office. This allows the entire procedure to be performed in an outpatient setting with minimal risk.
authors.affiliation: Section of Surgical Oncology, Mount Sinai Medical Center, Miami Beach, FL 33140, USA.
authors.forename: H
authors.initials: H
authors.lastname: Chan
authors.forename: T
authors.initials: T
authors.lastname: Mesko
authors.forename: K
authors.initials: K
authors.lastname: Fields
authors.forename: J
authors.initials: J
authors.lastname: Barkin
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy / Q000009:adverse effects; D008875:Middle Aged; D014138:Tracheoesophageal Fistula; D014140:Tracheotomy / Q000009:adverse effects; D014832:Voice Disorders / Q000209:etiology / Q000601:surgery*