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Updated: Aug 30, 2026

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
Published on: October 24, 2025
Voice restoration after total laryngectomy with tracheoesophageal puncture and voice prosthesis
1Section Otolaryngology Head and Neck Surgery, Department of Surgery, San Pablo Hospital and Medical Center.
Abstract:
Removal of the voice box or larynx is the usual treatment for advanced cancer of the larynx. Tracheoesophageal puncture (TEP) has become an accepted method for voice restoration following total laryngectomy. Eleven patients under went total laryngectomy with TEP at San Pablo Hospital Medical Center between March 1989 and October 1995. Seven patients were available for voice analysis. Eighty six percent of the patient was able to talk. This is the first report of TEP being perform in Puerto Rico and with a complete Hispanic population of patients. Results compare favorably with those reported in the medical literature.
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