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Secondary tracheoesophageal puncture in-office using Seldinger technique
Christopher J Britt1, Dylan Lippert, Rachael Kammer
1Division of Otolaryngology Head and Neck Surgery, University of Wisconsin Hospitals and Clinics, Madison, Wisconsin, USA.
Summary
This study shows that in-office secondary tracheoesophageal puncture (TEP) is a safe and effective voice restoration method. The transnasal esophagoscopy (TNE) and Seldinger technique resulted in a low complication rate and good speech outcomes.
Area of Science:
- Otolaryngology
- Speech Pathology
- Surgical Innovation
Background:
- Laryngectomy necessitates speech rehabilitation.
- Secondary tracheoesophageal puncture (TEP) is a common method for voice restoration.
- Traditional TEP procedures may require multiple interventions.
Purpose of the Study:
- To evaluate the safety and efficacy of an in-office secondary TEP technique.
- To assess voice outcomes following the in-office TEP procedure.
- To determine complication rates associated with the in-office TEP.
Main Methods:
- Retrospective case series review of 83 patients undergoing in-office secondary TEP.
- Utilized transnasal esophagoscopy (TNE) and the Seldinger technique.
- Examined disease site, staging, reconstruction extent, and voice function.
Main Results:
- A low overall complication rate of 2.4% was observed.
- 97.6% of patients experienced no complications.
- Fluent or functional speech was achieved in 89.2% of patients.
Conclusions:
- In-office secondary TEP using TNE and Seldinger technique is safe and effective.
- The procedure yields functional speech outcomes comparable to literature.
- This technique is viable despite extensive prior surgery or reconstruction.
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