New endoscopic secondary tracheoesophageal voice prosthesis placement technique.
OBJECTIVE
The aim of this study was to present a new technique of secondary vocal prosthesis placement on an outpatient basis without general anesthesia by means of digestive endoscopy.


METHODS
It is a prospective study, 35 laryngectomized patients were sedated with midazolam and underwent digestive endoscopy and tracheoesophageal punch with vocal prosthesis insertion.


RESULTS
A success rate of 94.2% was achieved with this surgical technique. The mean procedure time was estimated at 12 minutes, and no serious complications due to the prosthesis insertion were observed.


CONCLUSIONS
The advantages of this new technique over the classic technique are lack of use of general anesthesia, performance of procedure on an outpatient basis, lower complication risks (including hemorrhage, mediastinitis, vertebral fracture, esophageal perforation; and minor oropharyngeal, and esophageal mucosal trauma), and direct visualization of the prosthesis in the esophageal lumen.
Head and Neck Surgery Department, Federal University of Sao Paulo-Escola Paulista de Medicina, Sao Paulo, Brazil. orlccp@ig.com.br
Claudiney C
CC
Costa
Márcio
M
Abrahão
Onivaldo
O
Cervantes
José F S
JF
Chagas
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation*; D007831:Larynx, Artificial; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D011446:Prospective Studies; D013072:Speech, Esophageal / Q000379:methods*; D014834:Voice Training