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2006:
Cheng Elaine; Ho Margie; Ganz Cindy; Shaha Ashok; Boyle Jay O; Singh Bhuvanesh; Wong Richard J; Patel Snehal; Shah Jatin; Branski Ryan C; Kraus Dennis H
Outcomes of primary and secondary tracheoesophageal puncture: a 16-year retrospective analysis.
Ear, nose, & throat journal 2006;
85(
4):.
The current study retrospectively reviewed the cases of 68 patients who had undergone total laryngectomy and tracheoesophageal puncture (TEP) over a 16-year period. Fifty-one patients underwent primary TEP and 17 underwent secondary TEP. Nearly 80% of patients who received TEP at the time of laryngectomy achieved excellent voice quality perceptually. In contrast, only 50% of secondary TEP patients achieved excellent voice ratings. This difference was statistically robust (p = 0.03). Although both surgical and prosthesis-related complications occurred more frequently following primary TEP, statistically significant differences were not achieved. Neither pre- nor postoperative radiotherapy had any effect on voice restoration or complication rates. Based on these data, primary TEP may be preferable for several reasons, including a greater likelihood of successful voice restoration, a shorter duration of postoperative aphonia, and the elimination of the need for a second operation and interim tube feedings.
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