title: A simple closure technique for reversal of tracheoesophageal puncture.
abstract: Speech restoration after total laryngectomy has been revolutionized by the technique of tracheoesophageal puncture (TEP) and speech valve prosthesis placement. Unfortunately, complications may arise from this procedure, sometimes necessitating reversal and surgical closure of the TEP. We present a simple yet effective method of closing a TEP and review previously described techniques.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, Queen Alexandra Hospital, Portsmouth, UK. marcelgeyer@googlemail.com
authors.forename: Marcel
authors.initials: M
authors.lastname: Geyer
authors.forename: Neil
authors.initials: N
authors.lastname: Tan
authors.forename: Hasnaa
authors.initials: H
authors.lastname: Ismail-Koch
authors.forename: Roberto
authors.initials: R
authors.lastname: Puxeddu
mesh_terms: D000368:Aged; D004947:Esophagus / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000175:diagnosis / Q000601:surgery; D007825:Laryngectomy / Q000379:methods* / Q000534:rehabilitation; D007831:Larynx, Artificial; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D019919:Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D011677:Punctures / Q000009:adverse effects / Q000379:methods*; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D014132:Trachea / Q000601:surgery*; D016896:Treatment Outcome