The Indian experience with immediate tracheoesophageal puncture for voice restoration

European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
A R MehtaG K Bachher

Abstract

A 3-year prospective study on primary tracheoesophageal puncture was carried out at Nanavati Hospital and Tata Memorial Hospital, Bombay, to assess its feasibility in a developing country and its success in vocal rehabilitation. We report our experience with primary tracheoesophageal puncture in 64 patients (57 males and 7 females) following surgical treatment for carcinoma of the pyriform fossa (45 cases) and endolarynx (19 cases). All patients underwent total laryngectomies with or without partial pharyngectomy and primary pharyngeal mucosal closure. Fifty-one patients underwent primary surgery followed by postoperative radiotherapy. At 3 months successful tracheoesophageal speech was achieved in 84% patients, although this percentage decreased to 67% at 9 months. There were no major complications. Successful vocal rehabilitation was related more to "patient factors" such as delays in seeking medical attention when prosthetic valves dislodged, improper use and care of the valves and inability to learn speech with the prosthesis. Overall, primary tracheoesophageal puncture was found to be feasible and should be used more extensively for vocal rehabilitation following laryngectomy in developing countries.

Citations

Jan 16, 2014·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·B T VargheseB Rajan
Aug 18, 1999·Proceedings of the National Academy of Sciences of the United States of America·L A EverettE D Green
Jun 13, 1998·Journal of the National Cancer Institute·J Rubin GrandisD J Tweardy
Nov 28, 2012·Journal of Radiation Research·Hideya YamazakiKazuhiko Ogawa
Jan 2, 2014·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Suhail SayedAnil D'cruz
Apr 22, 2015·American Journal of Otolaryngology·Matthew R NaunheimDaniel G Deschler
Dec 15, 2015·The Annals of Otology, Rhinology, and Laryngology·Matthew R NaunheimDaniel G Deschler
Nov 19, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Kai J Lorenz
Apr 27, 2013·Current Opinion in Otolaryngology & Head and Neck Surgery·Devendra A ChaukarAnil K D'Cruz

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