title: Technique for secondary tracheo-oesophageal puncture in difficult necks.
abstract: A secondary tracheo-oesophageal puncture is required for voice restoration post-laryngectomy either for reasons of closure of the primary fistula or as a planned secondary procedure. A method of doing this safely is described using an endotracheal tube and a flexible nasopharyngoscope in especially difficult cases.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Hull Royal Infirmary, Hull.
authors.forename: R K
authors.initials: RK
authors.lastname: Sharma
authors.forename: M
authors.initials: M
authors.lastname: Rogers
authors.forename: J
authors.initials: J
authors.lastname: Thind
authors.forename: A T W
authors.initials: AT
authors.lastname: Mabley
mesh_terms: D004947:Esophagus / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal; D007822:Laryngeal Neoplasms / Q000532:radiotherapy / Q000534:rehabilitation / Q000601:surgery; D007825:Laryngectomy / Q000534:rehabilitation; D008297:Male; D011677:Punctures / Q000379:methods*; D012086:Reoperation / Q000379:methods; D014139:Tracheostomy / Q000379:methods*