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Updated: Jun 20, 2026
Learning Modern Laryngeal Surgery in a Dissection Laboratory
Published on: March 18, 2020
Stapler-assisted total laryngectomy and hybrid primary puncture: analysis of functional results
Claudio Parrilla1, Giorgia Rossi1, Ylenia Longobardi1
1Unit of Otorhinolaryngology-Head and Neck Surgery, A. Gemelli Hospital Foundation IRCCS, Rome, Italy.
Objective:
To describe a new surgical technique called Hybrid Primary Puncture in Stapler-assisted Total Laryngectomy and to retrospectively compare two groups of patients undergoing total laryngectomy (TL) with or without the use of stapler.
Methods:
Retrospective analysis performed on 110 patients undergoing TL and voice prosthesis (VP) primary placement, divided into "stapler group" and "no-stapler group". The two groups were compared in terms of pharyngocutaneous fistula (PCF) incidence and events related to voice rehabilitation (hypertonicity, voice quality, complications related to VP).
Results:
No statistically significant difference (p > 0.05) was found in "stapler" and "no-stapler" groups analysing the incidence of PCF, the percentages of patients who developed hypertonicity and experienced complications in the use and management of the VP. Regarding the vocal quality, a Quality of Voice index of "good" was found in similar percentages of patients in the two groups. Stratifying the sample, no significant differences emerged between "stapler" vs "no-stapler" in salvage TL in any of the parameters investigated.
Conclusions:
The new technique allows to exploit, without any additional risk, the potential of stapler and primary VP placement.
