title: Tracheo-oesophageal puncture by retrograde passage of a gastroscope via mini-laparotomy and gastrotomy.
abstract: Secondary tracheo-oesophageal puncture is frequently used for voice restoration after laryngectomy. A method utilizing a flexible gastroscope passed via a mini-laparotomy and gastrotomy in a retrograde manner is described in a patient where extensive pharyngeal resection made it impossible to cannulate the upper aerodigestive tract. The patient suffered minimal morbidity and produced reasonable speech.
authors.affiliation: Freeman Hospital, Newcastle-upon-Tyne, UK.
authors.forename: S
authors.initials: S
authors.lastname: Loughran
authors.forename: G
authors.initials: G
authors.lastname: McKee
authors.forename: P
authors.initials: P
authors.lastname: Carding
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000534:rehabilitation / Q000601:surgery*; D005773:Gastroscopy; D006801:Humans; D007822:Laryngeal Neoplasms / Q000534:rehabilitation / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D011677:Punctures / Q000295:instrumentation / Q000379:methods*; D013270:Stomach / Q000601:surgery; D014832:Voice Disorders / Q000534:rehabilitation*; D014833:Voice Quality