Primary tracheoesophageal puncture and cricopharyngeal myotomy in stapler-assisted total laryngectomy
To evaluate the utility of the hybrid tracheoesophageal puncture procedure in stapler-assisted laryngectomy. Patients who underwent total laryngectomy at a single institution from 2009 to 2015 were reviewed. The interventions assessed were surgical creation of a tracheoesophageal puncture and placem...
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| Veröffentlicht in: | Journal of laryngology and otology 2016-07, Vol.130 (7), p.686-690 |
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| creator | Beswick, D M Damrose, E J |
| description | To evaluate the utility of the hybrid tracheoesophageal puncture procedure in stapler-assisted laryngectomy.
Patients who underwent total laryngectomy at a single institution from 2009 to 2015 were reviewed. The interventions assessed were surgical creation of a tracheoesophageal puncture and placement of a voice prosthesis. The outcomes measured included voicing ability and valve failure.
Thirty-nine patients underwent total laryngectomy or pharyngolaryngectomy. Of these, nine underwent stapler-assisted laryngectomy; seven of the nine patients underwent concurrent stapler-assisted laryngectomy, cricopharyngeal myotomy and a hybrid tracheoesophageal puncture procedure. These seven patients were the focus of this review. Successful voicing and oral alimentation was achieved in all patients. Mean time to phonation was 30 days (range, 7-77 days) and mean time to first valve change was 90 days (range, 35-117 days).
Primary tracheoesophageal puncture with concurrent voice prosthesis placement and cricopharyngeal myotomy is easily performed with stapler-assisted laryngectomy. The hybrid tracheoesophageal puncture procedure is a simple method that enables a single operator to achieve primary tracheoesophageal puncture and valve placement; in addition, it facilitates concurrent cricopharyngeal myotomy. |
| doi_str_mv | 10.1017/S0022215116008070 |
| format | Article |
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Patients who underwent total laryngectomy at a single institution from 2009 to 2015 were reviewed. The interventions assessed were surgical creation of a tracheoesophageal puncture and placement of a voice prosthesis. The outcomes measured included voicing ability and valve failure.
Thirty-nine patients underwent total laryngectomy or pharyngolaryngectomy. Of these, nine underwent stapler-assisted laryngectomy; seven of the nine patients underwent concurrent stapler-assisted laryngectomy, cricopharyngeal myotomy and a hybrid tracheoesophageal puncture procedure. These seven patients were the focus of this review. Successful voicing and oral alimentation was achieved in all patients. Mean time to phonation was 30 days (range, 7-77 days) and mean time to first valve change was 90 days (range, 35-117 days).
Primary tracheoesophageal puncture with concurrent voice prosthesis placement and cricopharyngeal myotomy is easily performed with stapler-assisted laryngectomy. The hybrid tracheoesophageal puncture procedure is a simple method that enables a single operator to achieve primary tracheoesophageal puncture and valve placement; in addition, it facilitates concurrent cricopharyngeal myotomy.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S0022215116008070</identifier><identifier>PMID: 27225511</identifier><identifier>CODEN: JLOTAX</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Aged ; Aged, 80 and over ; Carcinoma, Squamous Cell - surgery ; Chondrosarcoma - surgery ; Esophagus - surgery ; Female ; Fistula ; Giant Cell Tumors - surgery ; Head and Neck Neoplasms - surgery ; Humans ; Laryngeal Neoplasms - surgery ; Laryngectomy - methods ; Laryngectomy - rehabilitation ; Larynx ; Larynx, Artificial ; Main Articles ; Male ; Middle Aged ; Patients ; Pharyngeal Muscles - surgery ; Phonation ; Prostheses ; Prosthesis Implantation ; Punctures - methods ; Radiation therapy ; Speech, Alaryngeal - methods ; Squamous Cell Carcinoma of Head and Neck ; Trachea - surgery ; Treatment Outcome</subject><ispartof>Journal of laryngology and otology, 2016-07, Vol.130 (7), p.686-690</ispartof><rights>Copyright © JLO (1984) Limited 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-8d51a5b3179f161bcb545dfb20dd2389eb8906c4ab16a2928690b93a4e27606d3</citedby><cites>FETCH-LOGICAL-c406t-8d51a5b3179f161bcb545dfb20dd2389eb8906c4ab16a2928690b93a4e27606d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0022215116008070/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,27901,27902,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27225511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beswick, D M</creatorcontrib><creatorcontrib>Damrose, E J</creatorcontrib><title>Primary tracheoesophageal puncture and cricopharyngeal myotomy in stapler-assisted total laryngectomy</title><title>Journal of laryngology and otology</title><addtitle>J. Laryngol. Otol</addtitle><description>To evaluate the utility of the hybrid tracheoesophageal puncture procedure in stapler-assisted laryngectomy.
Patients who underwent total laryngectomy at a single institution from 2009 to 2015 were reviewed. The interventions assessed were surgical creation of a tracheoesophageal puncture and placement of a voice prosthesis. The outcomes measured included voicing ability and valve failure.
Thirty-nine patients underwent total laryngectomy or pharyngolaryngectomy. Of these, nine underwent stapler-assisted laryngectomy; seven of the nine patients underwent concurrent stapler-assisted laryngectomy, cricopharyngeal myotomy and a hybrid tracheoesophageal puncture procedure. These seven patients were the focus of this review. Successful voicing and oral alimentation was achieved in all patients. Mean time to phonation was 30 days (range, 7-77 days) and mean time to first valve change was 90 days (range, 35-117 days).
Primary tracheoesophageal puncture with concurrent voice prosthesis placement and cricopharyngeal myotomy is easily performed with stapler-assisted laryngectomy. The hybrid tracheoesophageal puncture procedure is a simple method that enables a single operator to achieve primary tracheoesophageal puncture and valve placement; in addition, it facilitates concurrent cricopharyngeal myotomy.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Chondrosarcoma - surgery</subject><subject>Esophagus - surgery</subject><subject>Female</subject><subject>Fistula</subject><subject>Giant Cell Tumors - surgery</subject><subject>Head and Neck Neoplasms - surgery</subject><subject>Humans</subject><subject>Laryngeal Neoplasms - surgery</subject><subject>Laryngectomy - methods</subject><subject>Laryngectomy - rehabilitation</subject><subject>Larynx</subject><subject>Larynx, Artificial</subject><subject>Main Articles</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Pharyngeal Muscles - surgery</subject><subject>Phonation</subject><subject>Prostheses</subject><subject>Prosthesis Implantation</subject><subject>Punctures - methods</subject><subject>Radiation therapy</subject><subject>Speech, Alaryngeal - methods</subject><subject>Squamous Cell Carcinoma of Head and Neck</subject><subject>Trachea - surgery</subject><subject>Treatment Outcome</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkc1KxDAYRYMoOo4-gBspuHFT_b60TdOliH8gKKjrkr_RStvUJF3M25s6o4girrK4556QXEIOEE4QsDx9AKCUYoHIADiUsEFmWOY8LXIGm2Q2xemU75Bd718BYgnoNtmhJaVFrM2IuXdNJ9wyCU6oF2ONt8OLeDaiTYaxV2F0JhG9TpRr1JS4Zf8RdksbbLdMmj7xQQytcanwvvHB6CTYEIl2xaoJ2yNbC9F6s78-5-Tp8uLx_Dq9vbu6OT-7TVUOLKRcFygKmWFZLZChVLLIC72QFLSmGa-M5BUwlQuJTNCKclaBrDKRG1oyYDqbk-OVd3D2bTQ-1F3jlWlb0Rs7-ho5cBadiP-jZVVRzDiwiB79QF_t6Pr4kImKQiwyiBSuKOWs984s6mH1tTVCPc1V_5ordg7X5lF2Rn81PveJQLaWik66Rj-bb3f_qX0HKnmfMQ</recordid><startdate>201607</startdate><enddate>201607</enddate><creator>Beswick, D M</creator><creator>Damrose, E J</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201607</creationdate><title>Primary tracheoesophageal puncture and cricopharyngeal myotomy in stapler-assisted total laryngectomy</title><author>Beswick, D M ; Damrose, E J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-8d51a5b3179f161bcb545dfb20dd2389eb8906c4ab16a2928690b93a4e27606d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Chondrosarcoma - surgery</topic><topic>Esophagus - surgery</topic><topic>Female</topic><topic>Fistula</topic><topic>Giant Cell Tumors - surgery</topic><topic>Head and Neck Neoplasms - surgery</topic><topic>Humans</topic><topic>Laryngeal Neoplasms - surgery</topic><topic>Laryngectomy - methods</topic><topic>Laryngectomy - rehabilitation</topic><topic>Larynx</topic><topic>Larynx, Artificial</topic><topic>Main Articles</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Pharyngeal Muscles - surgery</topic><topic>Phonation</topic><topic>Prostheses</topic><topic>Prosthesis Implantation</topic><topic>Punctures - methods</topic><topic>Radiation therapy</topic><topic>Speech, Alaryngeal - methods</topic><topic>Squamous Cell Carcinoma of Head and Neck</topic><topic>Trachea - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beswick, D M</creatorcontrib><creatorcontrib>Damrose, E J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laryngology and otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beswick, D M</au><au>Damrose, E J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary tracheoesophageal puncture and cricopharyngeal myotomy in stapler-assisted total laryngectomy</atitle><jtitle>Journal of laryngology and otology</jtitle><addtitle>J. Laryngol. Otol</addtitle><date>2016-07</date><risdate>2016</risdate><volume>130</volume><issue>7</issue><spage>686</spage><epage>690</epage><pages>686-690</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><coden>JLOTAX</coden><abstract>To evaluate the utility of the hybrid tracheoesophageal puncture procedure in stapler-assisted laryngectomy.
Patients who underwent total laryngectomy at a single institution from 2009 to 2015 were reviewed. The interventions assessed were surgical creation of a tracheoesophageal puncture and placement of a voice prosthesis. The outcomes measured included voicing ability and valve failure.
Thirty-nine patients underwent total laryngectomy or pharyngolaryngectomy. Of these, nine underwent stapler-assisted laryngectomy; seven of the nine patients underwent concurrent stapler-assisted laryngectomy, cricopharyngeal myotomy and a hybrid tracheoesophageal puncture procedure. These seven patients were the focus of this review. Successful voicing and oral alimentation was achieved in all patients. Mean time to phonation was 30 days (range, 7-77 days) and mean time to first valve change was 90 days (range, 35-117 days).
Primary tracheoesophageal puncture with concurrent voice prosthesis placement and cricopharyngeal myotomy is easily performed with stapler-assisted laryngectomy. The hybrid tracheoesophageal puncture procedure is a simple method that enables a single operator to achieve primary tracheoesophageal puncture and valve placement; in addition, it facilitates concurrent cricopharyngeal myotomy.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>27225511</pmid><doi>10.1017/S0022215116008070</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of laryngology and otology, 2016-07, Vol.130 (7), p.686-690 |
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| language | eng |
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| source | MEDLINE; Cambridge Journals |
| subjects | Aged Aged, 80 and over Carcinoma, Squamous Cell - surgery Chondrosarcoma - surgery Esophagus - surgery Female Fistula Giant Cell Tumors - surgery Head and Neck Neoplasms - surgery Humans Laryngeal Neoplasms - surgery Laryngectomy - methods Laryngectomy - rehabilitation Larynx Larynx, Artificial Main Articles Male Middle Aged Patients Pharyngeal Muscles - surgery Phonation Prostheses Prosthesis Implantation Punctures - methods Radiation therapy Speech, Alaryngeal - methods Squamous Cell Carcinoma of Head and Neck Trachea - surgery Treatment Outcome |
| title | Primary tracheoesophageal puncture and cricopharyngeal myotomy in stapler-assisted total laryngectomy |
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