Related Experiment Video
Updated: Nov 18, 2025
08:12
Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
1.9K
Tracheoesophageal puncture closure with annular mucosal flap
1Department of Otolaryngology - Head and Neck Surgery, Faculty of Medicine, Baskent University, Ankara, Turkey.
Head & Neck
|February 5, 2021
Summary
This study introduces an annular mucosal flap technique for tracheoesophageal puncture (TEP) closure. The method proved effective and safe, enabling patients to resume oral feeding quickly post-procedure.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Speech and Voice Restoration
Background:
- Tracheoesophageal puncture (TEP) is a surgical procedure for voice restoration after laryngectomy.
- Traditional TEP closure methods often involve bulky or distant flaps, posing potential complications.
- There is a need for simpler, more effective TEP closure techniques.
Purpose of the Study:
- To present an effective and easily applicable method for TEP closure.
- To utilize a localized annular flap for TEP closure, avoiding the need for distant flaps.
Main Methods:
- Retrospective review of medical records for patients undergoing TEP closure using the annular mucosal flap technique (July 2012 - August 2018).
- Analysis of fistula size, closure indication, surgery duration, radiotherapy status, and surgical outcomes.
- Application of the annular mucosal flap technique in nine patients.
Main Results:
- The annular mucosal flap technique was successfully applied in nine patients.
- No significant postoperative complications such as bleeding, infection, or stenosis were observed.
- Successful TEP closure was achieved in eight out of nine patients, with no recurrence.
Conclusions:
- The annular mucosal flap technique offers an easy and quick method for TEP closure.
- This technique allows for early oral feeding (within six hours) without nasogastric intubation, enhancing patient recovery and comfort.
Keywords:
annular flaptotal laryngectomytracheoesophageal fistulatracheoesophageal puncturevoice prosthesisMore Related Videos
Related Concept Videos
01:21Tracheostomy Decannulation
605
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
605
01:28Tracheostomy: Procedure and Tubes
1.9K
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
1.9K
01:28Esophageal Perforation-II: Clinical Manifestations and Management
245
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
245
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
305
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
305
01:23Tracheostomy Suctioning II: Procedure
943
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
943
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
267
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
267