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. 2022 Oct;74(Suppl 2):2404-2408.
doi: 10.1007/s12070-020-02162-8. Epub 2020 Oct 9.

Tracheo-esophageal Puncture Revisited

Ravi P Deo  1 , A Sagayaraj  1 , Balan Ashok Kumar  1 , S M Azeem Mohiyuddin  1
Affiliations

Tracheo-esophageal Puncture Revisited

Ravi P Deo et al. Indian J Otolaryngol Head Neck Surg. 2022 Oct.

Abstract

This study aims to propose a novel surgical technique to rehabilitate patients with long term complication of trachea-esophageal puncture and stomal stenosis. Ours is retrospective study. Ten patients with tracheo-esophageal puncture who developed long term complications and who failed conservative management were included in our study. Majority of our patients were males within the age group of 50-70 years of age. Most of our patients had received adjuvant radiotherapy (8/10). All patients had multiple change of prosthesis. Nine patients suffered from multiple complications of TEP. Most common complication was that of progressive thinning of trachea-esophageal wall. All the patients who underwent this procedure healed well without any major complications. Long term trachea-esophageal puncture may undergo significant modification in terms of position and size. This technique gives a satisfactory and viable method of excising the altered anatomy and establishes speech & swallowing in such patients who fail conservative management.

Keywords: Aspiration; Laryngectomy; Stomal stenosis; Tracheo-eshophageal puncture; Voice prosthesis.

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Conflict of interest statement

Conflict of interestThe authors declare no conflict of interest or commercial affiliation related to this study.

Figures

Fig. 1
Fig. 1
Picture showing incision planning and positioning of endotracheal tube
Fig. 2
Fig. 2
Picture showing mobilized bilateral sternocleidomastoid muscle and anterior tracheal wall
Fig. 3
Fig. 3
Picture showing tracheal incision and isolation of TEP-fistulous tract
Fig. 4
Fig. 4
Picture showing refashioned tracheostoma, new TEP and closure of neopharynx
Fig. 5
Fig. 5
Postoperative picture showing healed stoma and revised TEP
See this image and copyright information in PMC

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