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Minimally invasive wire-guided balloon catheter puncture for voice prosthesis insertion
Marc Tobed Secall1, Toni Bores1, Ignacio Sambola1
1Department of Otorhinolaryngology Head and Neck Surgery, Hospital Universitari de Girona Doctor Josep Trueta, Universitat de Girona, Girona, Catalonia, Spain.
Background:
Tracheoesophageal puncture is an effective and reliable method for voice restoration after total laryngectomy that may be performed as a primary or secondary procedure.
Methods:
We describe our technique for secondary tracheoesophageal puncture using a wire-guided balloon catheter in an office setting. A 72-year-old patient with a total laryngectomy performed 2 years ago was selected for wire-guided balloon catheter puncture and voice prosthesis insertion.
Results:
Successful tracheoesophageal puncture placement was achieved without complications and the patient tolerated the procedure well. The voice result was satisfactory and immediate.
Conclusion:
We conclude that balloon catheter tracheoesophageal puncture can be a simple and safe option for secondary voice prosthesis insertion in total laryngectomy for selected patients. It can be performed in an office setting using only local anesthetic for secondary puncture.