An improved method of flexible endoscopic creation of tracheoesophageal fistula for voice restoration.
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.
Chan
H
H
Section of Surgical Oncology, Mount Sinai Medical Center, Miami Beach, FL 33140, USA.
Mesko
T
T
Fields
K
K
Barkin
J
J
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*