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A Novel Technique: Stapler-Assisted Total Laryngectomy with Concurrent Tracheoesophageal Prosthesis Insertion
Sumanth Bollu1, Sowrabh Kumar Arora1, Khyati Bhatia1
1Department of Surgical Oncology, Max Super Speciality Hospital, Vaishali, Uttar Pradesh India.
Summary
This study introduces a new method for concurrent tracheoesophageal prosthesis insertion during stapler-assisted total laryngectomy. The technique simplifies the procedure, reduces operative time, and aids speech rehabilitation for laryngeal cancer patients.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Speech Rehabilitation
Background:
- Stapler-assisted pharyngeal closure in total laryngectomy offers faster, more reliable reconstruction.
- Simultaneous tracheoesophageal prosthesis (TEP) placement during this procedure presents significant challenges.
- These challenges can negatively impact speech rehabilitation outcomes for patients.
Purpose of the Study:
- To report a novel technique for concurrent TEP insertion during stapler-assisted total laryngectomy.
- To address the challenges of simultaneous TEP placement and improve speech outcomes.
Main Methods:
- A patient with advanced laryngeal cancer underwent total laryngectomy with stapler-assisted closure.
- A concurrent primary TEP insertion was performed using a novel technique.
- An inflated Foley balloon was used to identify the optimal TEP puncture site during neopharynx reconstruction.
Main Results:
- The patient experienced an uneventful immediate postoperative course.
- Successful alaryngeal speech was achieved following speech rehabilitation.
Conclusions:
- The novel technique for concurrent TEP insertion in stapler-assisted total laryngectomy is practical and straightforward.
- This method effectively shortens operative time.
- The technique facilitates successful speech rehabilitation for patients.
Keywords:
Laryngeal cancerLaryngectomyPrimary TEPSpeech rehabilitationStapler closerTracheo-esophageal prosthesisMore Related Videos
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