title: Minimally invasive wire-guided balloon catheter puncture for voice prosthesis insertion.
abstract: Tracheoesophageal puncture is an effective and reliable method for voice restoration after total laryngectomy that may be performed as a primary or secondary procedure.
  
  
  
  We describe our technique for secondary tracheoesophageal puncture using a wire-guided balloon catheter in an office setting. A 72-year-old patient with a total laryngectomy performed 2 years ago was selected for wire-guided balloon catheter puncture and voice prosthesis insertion.
  
  
  
  Successful tracheoesophageal puncture placement was achieved without complications and the patient tolerated the procedure well. The voice result was satisfactory and immediate.
  
  
  
  We conclude that balloon catheter tracheoesophageal puncture can be a simple and safe option for secondary voice prosthesis insertion in total laryngectomy for selected patients. It can be performed in an office setting using only local anesthetic for secondary puncture.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Hospital Universitari de Girona Doctor Josep Trueta, Universitat de Girona, Girona, Catalonia, Spain.
authors.forename: Marc
authors.initials: M
authors.lastname: Tobed Secall
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Hospital Universitari de Girona Doctor Josep Trueta, Universitat de Girona, Girona, Catalonia, Spain.
authors.forename: Toni
authors.initials: T
authors.lastname: Bores
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Hospital Universitari de Girona Doctor Josep Trueta, Universitat de Girona, Girona, Catalonia, Spain.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Sambola
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Hospital Universitari de Girona Doctor Josep Trueta, Universitat de Girona, Girona, Catalonia, Spain.
authors.forename: Joan
authors.initials: J
authors.lastname: Lop
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Hospital Universitari de Girona Doctor Josep Trueta, Universitat de Girona, Girona, Catalonia, Spain.
authors.forename: Eduardo
authors.initials: E
authors.lastname: García Rica
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Hospital Universitari de Girona Doctor Josep Trueta, Universitat de Girona, Girona, Catalonia, Spain.|Department of Otorhinolaryngology Head and Neck Surgery, Hospital Provincial Santa Caterina, Girona, Catalonia, Spain.
authors.forename: Jordi
authors.initials: J
authors.lastname: Lluansi
mesh_terms: D000368:Aged; D002404:Catheterization / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy / Q000379:methods*; D007831:Larynx, Artificial; D008297:Male; D019919:Prosthesis Implantation / Q000379:methods*; D011677:Punctures; D011788:Quality of Life; D018570:Risk Assessment; D013068:Speech Production Measurement; D016896:Treatment Outcome
keywords: balloon catheter; minimally invasive; total laryngectomy; tracheoesophageal puncture; voice prosthesis; wire-guided