title: How we do it: secondary tracheoesophageal puncture under local anaesthetic, using a trans-nasal flexible laryngo-oesophagoscope (TNFLO).
abstract: We describe our technique for the formation of a secondary tracheoesophageal puncture and insertion of a voice prosthesis under local anaesthetic in the out-patient department. We use a trans-nasal flexible laryngo-oesophagoscope (TNFLO) to provide direct visualization of the procedure allowing early detection and rectification of any problems that might arise.
authors.affiliation: Department of Otolaryngology, Norfolk and Norwich University Hospital, Norwich, UK. james.snelling@nhs.net
authors.forename: J D
authors.initials: JD
authors.lastname: Snelling
authors.forename: T
authors.initials: T
authors.lastname: Price
authors.forename: P Q
authors.initials: PQ
authors.lastname: Montgomery
authors.forename: B L
authors.initials: BL
authors.lastname: Blagnys
mesh_terms: D000772:Anesthesia, Local; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D007825:Laryngectomy; D007828:Laryngoscopy; D011677:Punctures / Q000379:methods*; D014132:Trachea / Q000601:surgery*