Article
Otorhinolaryngology
Jacopo Galli, Luca Perna, Giorgia Rossi, Luigi Corina, Claudio Parrilla
Summary: This video demonstrates a new surgical technique for hybrid primary tracheoesophageal puncture in stapler-assisted total laryngectomy. The technique involves an upper mini-pharyngotomy for retrograde placement of the voice prosthesis, eliminating the need for rigid esophagoscopy. In our experience, this hybrid procedure did not result in adverse events.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2023)
Article
Otorhinolaryngology
Vivianne Landry, Apostolos Christopoulos, Louis Guertin, Eric Bissada, Paul Tabet, Ilyes Berania, Emilie Royal-Lajeunesse, Marie-Jo Olivier, Tareck Ayad
Summary: The study aimed to determine patterns of alaryngeal voice acquisition and predictive factors of vocal rehabilitation (VR) failure following total laryngectomy (TL) at a large Canadian tertiary care center. The data of 197 laryngectomized patients were analyzed, and it was found that successful VR was achieved in 59.0% of patients, while 41.0% failed to adopt an alaryngeal voice as their principal means of communication at 1 year postoperatively. The use of tracheoesophageal puncture (TEP) was associated with higher VR success rates compared with the artificial larynx and esophageal voice, and low socioeconomic status was identified as the independent predictor of VR failure.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2023)
Article
Otorhinolaryngology
Nicolette Jabbour, Timothy Rodriggs, Meredith O'Dea, Taha Mur, Kailey Vitale, Daniel L. Faden
Summary: Tracheoesophageal (TE) puncture with voice prosthesis placement is a common method for vocal rehabilitation after total laryngectomy. Traditional secondary TE puncture carries risks and challenges, leading to the development of in-office secondary TE puncture. We present a video tutorial of a kit-based, awake, in-office secondary TE puncture technique, breaking down the procedure into 10 steps.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2023)
Article
Otorhinolaryngology
Gabriella T. Seo, Lauren E. Wein, Eric M. Dowling, Azita S. Khorsandi, Mark L. Urken
Summary: This study presents a novel surgical technique for repairing tracheostomal stenosis following total laryngectomy, while preserving the tracheoesophageal puncture for speech rehabilitation postoperatively.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2022)
Article
Oncology
Robert Sifrer, Primoz Strojan, Ivana Tancer, Maja Dolenc, Simon Fugina, Sara Bitenc Zore, Aleksandar Anicin
Summary: Pharyngocutaneous fistula (PCF) is the most common complication following total laryngectomy. This study analyzed the incidence and risk factors using a large study set collected over a longer period of time. The results identified surgical wound infection, piriform sinus invasion, salvage TL, and total radiation dose as independent risk factors for PCF formation. Preventing modifiable risk factors, particularly surgical wound infection, can reduce the occurrence of PCF.
Article
Otorhinolaryngology
Luca Gazzini, Elisa Laura, Gabriele Molteni, Daniele Marchioni, Gian Paolo Pighi
Summary: This study proposed an alternative blind technique for secondary TEP and conducted a retrospective study on 32 patients. Results showed that the blind technique can safely and efficiently perform secondary TEP in patients with unfavorable conditions, reducing the risk of procedure-related complications.
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
(2021)
Article
Otorhinolaryngology
Haluk Yavuz, Omer Vural
Summary: The annular mucosal flap technique for TEP closure is effective and convenient, with a high success rate and minimal complications.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2021)
Article
Otorhinolaryngology
Michelle Buncke, Peter Andersen, Christopher Connelly, Daniel Clayburgh
Summary: Tracheoesophageal puncture (TEP) is an important method for voice rehabilitation after laryngectomy, but complications may occur. This study presents an effective technique using stapler-assisted closure for TEP, which is easy, quick, and reliable.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2023)
Article
Medicine, Research & Experimental
Andy Bertolin, Marco Lionello, Claudia Zanotti, Leonardo Franz, Luciano Giacomelli, Giuseppe Rizzotto, Gino Marioni
Summary: The study compared the outcomes of total laryngectomies (TL) as the primary treatment or as salvage after failure of conservative approaches for advanced laryngeal carcinoma. Primary TL had better overall survival and disease-specific survival rates compared to salvage TL. Patients who underwent salvage TL had higher recurrence rates, shorter disease-free survival, and more postoperative complications than those who had primary TL.
Article
Otorhinolaryngology
Nikolay R. Sapundzhiev, Asen G. Asenov, Blagovesta Spasova, Petya S. Genova, Georgi Davidov, Darina Ivanova
Summary: This study retrospectively reviewed the clinical experience of using a novel technique for TEP. The technique simplified the procedure, avoided high-risk approaches and instruments, and achieved successful placement of the voice prosthesis.
JOURNAL OF OTOLARYNGOLOGY-HEAD & NECK SURGERY
(2022)
Article
Audiology & Speech-Language Pathology
Sara Yang, Corinne Bunn, Sarah Kramer, Eric Thorpe
Summary: This study reported on the variability of tracheoesophageal prosthesis length in postlaryngectomy patients. It found that a portion of patients require adjustments to the prosthesis length postoperatively.
Article
Otorhinolaryngology
Lisa M. Evangelista, Tess Andrews, Ahmed Bayoumi, Maggie A. Kuhn, Nogah Nativ-Zeltzer, Peter C. Belafsky
Summary: The study found that endoscopic visualization with TNE can improve sizing accuracy during TEP placement, especially for patients with a history of radiation therapy. The data suggest that direct visualization with TNE may be beneficial for TEP sizing.
ACTA OTO-LARYNGOLOGICA
(2021)
Article
Otorhinolaryngology
Gabriele Molteni, Luca Gazzini, Andrea Sacchetto, Riccardo Nocini, Daniele Marchioni
Summary: The use of prophylactic vascularized flaps in salvage total laryngectomy can reduce complications and achieve good functional outcomes.
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
(2021)
Article
Medicine, General & Internal
Shahin Tahan Shoushtari, Jocelyn Gal, Emmanuel Chamorey, Renaud Schiappa, Olivier Dassonville, Gilles Poissonnet, Deborah Aloi, Mederic Barret, Inga Safta, Esma Saada, Anne Sudaka, Dorian Culie, Alexandre Bozec
Summary: This study compared the survival outcomes of salvage vs. primary total laryngectomy in patients with locally advanced laryngeal or hypopharyngeal carcinoma and determined their predictive factors. The results showed that salvage TL had significantly worse survival rates than primary TL. The predictive factors identified here should be considered in the therapeutic decision-making, especially for salvage TL patients.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Jacopo Galli, Giovanni Di Cintio, Stefano Settimi, Antonio Salvati, Claudio Parrilla, Giovanni Almadori, Gaetano Paludetti
Summary: The aim of this study was to evaluate the impact of salvage total laryngectomy and elective bilateral neck dissection on the survival rate and oncologic outcomes of patients with clinically negative neck. The study found that occult neck node metastasis occurred in 22.5% of the patients, with significant correlation between lymphovascular invasion and perineural invasion. The study suggests routinely performing elective selective bilateral neck dissection in cN0 patients due to the tumor's propensity to spread to cervical nodes.
JOURNAL OF CLINICAL MEDICINE
(2022)
