Speech restoration and complications of primary versus secondary tracheoesophageal puncture following total laryngectomy
The tracheoesophageal (TE) fistula with a speech prosthesis has become the method of choice for vocal rehabilitation in many postlaryngectomy patients. Several modifications of the procedure have been described including primary TE puncture at the time of laryngectomy. Fear of increased risk of comp...
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| Veröffentlicht in: | The Laryngoscope 1989-05, Vol.99 (5), p.489-491 |
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| container_title | The Laryngoscope |
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| creator | Maniglia, Anthony J. Lundy, Donna S. Casiano, Roy C. Swim, Scott C. |
| description | The tracheoesophageal (TE) fistula with a speech prosthesis has become the method of choice for vocal rehabilitation in many postlaryngectomy patients. Several modifications of the procedure have been described including primary TE puncture at the time of laryngectomy. Fear of increased risk of complications has kept the primary procedure from widespread usage. Our series of 95 TE fistula procedures from 1980 to 1988 revealed 33 to be primary and 62 secondary. Eighty‐five percent (85%) (28 of 33) patients in the primary group achieved long‐term satisfactory speech (1 year or more of follow‐up). Complications occurred in 36% of this group of patients. The success rate for the secondary group was 69% (43 of 62), while the complication rate was 21%. There were no instances of death, sepsis, or media‐stinitis associated with either primary or secondary TE fistula patients. It appears that the primary TE fistula can be performed as safely and effectively as the secondary procedure. |
| doi_str_mv | 10.1288/00005537-198905000-00004 |
| format | Article |
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Several modifications of the procedure have been described including primary TE puncture at the time of laryngectomy. Fear of increased risk of complications has kept the primary procedure from widespread usage. Our series of 95 TE fistula procedures from 1980 to 1988 revealed 33 to be primary and 62 secondary. Eighty‐five percent (85%) (28 of 33) patients in the primary group achieved long‐term satisfactory speech (1 year or more of follow‐up). Complications occurred in 36% of this group of patients. The success rate for the secondary group was 69% (43 of 62), while the complication rate was 21%. There were no instances of death, sepsis, or media‐stinitis associated with either primary or secondary TE fistula patients. It appears that the primary TE fistula can be performed as safely and effectively as the secondary procedure.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1288/00005537-198905000-00004</identifier><identifier>PMID: 2709936</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley & Sons, Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Female ; Follow-Up Studies ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Larynx, Artificial ; Male ; Medical sciences ; Middle Aged ; Postoperative Complications - etiology ; Punctures ; Speech, Alaryngeal - methods ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Several modifications of the procedure have been described including primary TE puncture at the time of laryngectomy. Fear of increased risk of complications has kept the primary procedure from widespread usage. Our series of 95 TE fistula procedures from 1980 to 1988 revealed 33 to be primary and 62 secondary. Eighty‐five percent (85%) (28 of 33) patients in the primary group achieved long‐term satisfactory speech (1 year or more of follow‐up). Complications occurred in 36% of this group of patients. The success rate for the secondary group was 69% (43 of 62), while the complication rate was 21%. There were no instances of death, sepsis, or media‐stinitis associated with either primary or secondary TE fistula patients. It appears that the primary TE fistula can be performed as safely and effectively as the secondary procedure.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Larynx, Artificial</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications - etiology</subject><subject>Punctures</subject><subject>Speech, Alaryngeal - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the upper aerodigestive tract</subject><subject>Time Factors</subject><subject>Tracheoesophageal Fistula</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUE1v1DAUtBCoLIWfgOQD4hbwt51jtUBBWoFUPgonyzgvuwEnTu2Edv893m7YM75YnjdvxjMIYUpeUWbMa1KOlFxXtDY1keVVHSDxAK2o5LQSdS0fohUhjFdGsu-P0ZOcfxFCNZfkDJ0xTeqaqxW6-zwC-B1OkKeY3NTFAbuhwT72Y-j8PZBxbPGYut6lPf4DKc8ZZ_BxaA7AlJzfQYQcx53bggt4nAc_zQlwG0OIt92wxVOcyiAU_rAFP8V-_xQ9al3I8Gy5z9HXd2-_rN9Xm0-XH9YXm8oLYUQlaOMUUYIoDbKtfclLnITGgOKCMdUw2kqgyqm6dV4yKcE1lGiquGqU8vwcvTzqjinezCWl7bvsIQQ3QJyz1aYWpS1ViOZI9CnmnKC1S2RLiT2Ubv-Vbk-l30OirD5fPOafPTSnxaXlMn-xzF32LrTJDb7LJ5ouObiRhfbmSLvtAuz_295uLq5-SCmKV0EPv6mOMl2e4O4k49JvqzTX0l5_vLTXSq4V09_sFf8LPrOuWQ</recordid><startdate>198905</startdate><enddate>198905</enddate><creator>Maniglia, Anthony J.</creator><creator>Lundy, Donna S.</creator><creator>Casiano, Roy C.</creator><creator>Swim, Scott C.</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><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>7X8</scope><scope>8BM</scope></search><sort><creationdate>198905</creationdate><title>Speech restoration and complications of primary versus secondary tracheoesophageal puncture following total laryngectomy</title><author>Maniglia, Anthony J. ; Lundy, Donna S. ; Casiano, Roy C. ; Swim, Scott C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4484-41da6064067e5f9c1980a5ed8e634226d21f5e16a69fac5255ead1071636d66c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Larynx, Artificial</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Complications - etiology</topic><topic>Punctures</topic><topic>Speech, Alaryngeal - methods</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the upper aerodigestive tract</topic><topic>Time Factors</topic><topic>Tracheoesophageal Fistula</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maniglia, Anthony J.</creatorcontrib><creatorcontrib>Lundy, Donna S.</creatorcontrib><creatorcontrib>Casiano, Roy C.</creatorcontrib><creatorcontrib>Swim, Scott C.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maniglia, Anthony J.</au><au>Lundy, Donna S.</au><au>Casiano, Roy C.</au><au>Swim, Scott C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Speech restoration and complications of primary versus secondary tracheoesophageal puncture following total laryngectomy</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>1989-05</date><risdate>1989</risdate><volume>99</volume><issue>5</issue><spage>489</spage><epage>491</epage><pages>489-491</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>The tracheoesophageal (TE) fistula with a speech prosthesis has become the method of choice for vocal rehabilitation in many postlaryngectomy patients. Several modifications of the procedure have been described including primary TE puncture at the time of laryngectomy. Fear of increased risk of complications has kept the primary procedure from widespread usage. Our series of 95 TE fistula procedures from 1980 to 1988 revealed 33 to be primary and 62 secondary. Eighty‐five percent (85%) (28 of 33) patients in the primary group achieved long‐term satisfactory speech (1 year or more of follow‐up). Complications occurred in 36% of this group of patients. The success rate for the secondary group was 69% (43 of 62), while the complication rate was 21%. There were no instances of death, sepsis, or media‐stinitis associated with either primary or secondary TE fistula patients. It appears that the primary TE fistula can be performed as safely and effectively as the secondary procedure.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>2709936</pmid><doi>10.1288/00005537-198905000-00004</doi><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0023-852X |
| ispartof | The Laryngoscope, 1989-05, Vol.99 (5), p.489-491 |
| issn | 0023-852X 1531-4995 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Adult Aged Biological and medical sciences Female Follow-Up Studies Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Larynx, Artificial Male Medical sciences Middle Aged Postoperative Complications - etiology Punctures Speech, Alaryngeal - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract Time Factors Tracheoesophageal Fistula |
| title | Speech restoration and complications of primary versus secondary tracheoesophageal puncture following total laryngectomy |
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