New Method for in-Office Secondary Voice Prosthesis Insertion under Local Anesthesia by Reverse Puncture from Esophageal Lumen

Objectives: We clarify and demonstrate the utility of our new method of voice prosthesis insertion using puncture from the esophageal lumen. Methods: Our new reverse puncture method using a flexible endoscope can be performed in an outpatient clinic under local anesthesia. We conducted a clinical tr...

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Veröffentlicht in:Annals of otology, rhinology & laryngology rhinology & laryngology, 2013-03, Vol.122 (3), p.163-168
Hauptverfasser: Fukuhara, Takahiro, Fujiwara, Kazunori, Nomura, Kenichi, Miyake, Naritomo, Kitano, Hiroya
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container_end_page 168
container_issue 3
container_start_page 163
container_title Annals of otology, rhinology & laryngology
container_volume 122
creator Fukuhara, Takahiro
Fujiwara, Kazunori
Nomura, Kenichi
Miyake, Naritomo
Kitano, Hiroya
description Objectives: We clarify and demonstrate the utility of our new method of voice prosthesis insertion using puncture from the esophageal lumen. Methods: Our new reverse puncture method using a flexible endoscope can be performed in an outpatient clinic under local anesthesia. We conducted a clinical trial with patients with head and neck cancer between April 2010 and February 2012. Our study focused on the following three points: 1) the percentage of patients for whom the procedure was successful; 2) the duration of the operation; and 3) any adverse effects. Results: The puncture was performed successfully for 21 of 22 patients (95%). The mean duration of the operation, excluding the time for local anesthesia, was only 11.6 minutes. All patients began voice rehabilitation and attained peroral intake immediately after the operation. None of the patients suffered complications from the procedures. Conclusions: Most patients were treated with our new method with ease and at low risk. The high success rate and the absence of complications demonstrate the benefits of our method. We conclude that our method can be recommended for secondary reverse tracheoesophageal puncture.
doi_str_mv 10.1177/000348941312200304
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Methods: Our new reverse puncture method using a flexible endoscope can be performed in an outpatient clinic under local anesthesia. We conducted a clinical trial with patients with head and neck cancer between April 2010 and February 2012. Our study focused on the following three points: 1) the percentage of patients for whom the procedure was successful; 2) the duration of the operation; and 3) any adverse effects. Results: The puncture was performed successfully for 21 of 22 patients (95%). The mean duration of the operation, excluding the time for local anesthesia, was only 11.6 minutes. All patients began voice rehabilitation and attained peroral intake immediately after the operation. None of the patients suffered complications from the procedures. Conclusions: Most patients were treated with our new method with ease and at low risk. The high success rate and the absence of complications demonstrate the benefits of our method. 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laryngology</jtitle><addtitle>Ann Otol Rhinol Laryngol</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>122</volume><issue>3</issue><spage>163</spage><epage>168</epage><pages>163-168</pages><issn>0003-4894</issn><eissn>1943-572X</eissn><coden>AORHA2</coden><abstract>Objectives: We clarify and demonstrate the utility of our new method of voice prosthesis insertion using puncture from the esophageal lumen. Methods: Our new reverse puncture method using a flexible endoscope can be performed in an outpatient clinic under local anesthesia. We conducted a clinical trial with patients with head and neck cancer between April 2010 and February 2012. Our study focused on the following three points: 1) the percentage of patients for whom the procedure was successful; 2) the duration of the operation; and 3) any adverse effects. Results: The puncture was performed successfully for 21 of 22 patients (95%). The mean duration of the operation, excluding the time for local anesthesia, was only 11.6 minutes. All patients began voice rehabilitation and attained peroral intake immediately after the operation. None of the patients suffered complications from the procedures. Conclusions: Most patients were treated with our new method with ease and at low risk. The high success rate and the absence of complications demonstrate the benefits of our method. 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subjects Adolescent
Adult
Advantages
Aged
Aged, 80 and over
Ambulatory Surgical Procedures - methods
Anesthesia, Local - methods
Clinical trials
Esophagus - surgery
Female
Head & neck cancer
Head and Neck Neoplasms - surgery
Humans
Laryngectomy
Larynx, Artificial
Male
Methods
Middle Aged
Operative Time
Patients
Prostheses
Prosthesis Implantation - methods
Trachea - surgery
Young Adult
title New Method for in-Office Secondary Voice Prosthesis Insertion under Local Anesthesia by Reverse Puncture from Esophageal Lumen
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