The supraclavicular artery island flap (SCAIF) is increasingly employed for laryngectomy reconstruction with excellent success. Although tracheoesophageal puncture (TEP) with intraoperative prosthesis placement is also positively reported, this is not described in patients following SCAIF. We review our experience with primary TEP with prosthesis placement and voice outcomes in patients after S...

INTRODUCTION After total laryngectomy (TL), three methods of speech production are commonly available: esophageal, artificial (i.e., electrolarynx or equivalent), and tracheoesophageal puncture (TEP) voice. TEP is a highly successful voice restoration method for the majority of TL patients and allows for the production of intelligible, more natural sounding and fluent alaryngeal speech. Althoug...

BACKGROUND Pharyngoesophageal spasm is a known entity to cause hypertonic/failed tracheoesophageal speech and is successfully treated by botulinum toxin A injection. However, success of botulinum toxin treatment is based on the accurate localization of the pharyngoesophageal segment. METHODS A 65-year-old man who had a laryngectomy using voice prosthesis with hypertonic speech underwent ultra...

OBJECTIVES Secondary tracheoesophageal (TE) puncture standardly involves placement of a catheter at time of TE fistula creation. We explore the feasibility of placement of the prosthesis at the time of TE puncture (TEP) obviating the need for a subsequent procedure to place the prosthesis. We describe the technique and evaluate the success and potential advantages. STUDY DESIGN Retrospective ...

BACKGROUND Little has been reported about the impact of tracheoesophageal (TE) speech on individuals in the Middle East where the procedure has been gaining in popularity. After total laryngectomy, individuals in Europe and North America have rated their quality of life as being lower than non-laryngectomized individuals. The purpose of this study was to evaluate changes in quality of life and ...

Abstract Background An enlarged tracheoesophageal puncture (TEP) site is a grave complication of voice prosthesis rehabilitation. Case presentation We report case periprosthetic leakage with an fistula causing aspiration, not responding to conservative management and primary closure. Internal mammary artery perforator (IMAP) flap was subsequently used in the management. The successfully taken u...