Department of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA 02114, USA.
Otolaryngol Head Neck Surg. 2011 Mar;144(3):474-6. doi: 10.1177/0194599810391960. Epub 2011 Jan 24.
The authors examined the feasibility and advantages of primary tracheoesophageal puncture (TEP) with intraoperative placement of the voice prosthesis for patients undergoing laryngopharyngectomy requiring free tissue reconstruction and salivary bypass tube placement. Six patients were identified; 4 underwent total laryngopharyngectomy, and 2 underwent total laryngectomy with partial pharyngectomy. All 6 required free tissue reconstruction, and a salivary bypass tube was placed in all cases. All patients had a 20F Indwelling Blom-Singer prosthesis (InHealth Technologies, Carpinteria, California) placed. No complications were noted with intraoperative prosthesis placement. No prostheses were dislodged in the postoperative period. At 6 months, 4 patients available for evaluation had successful voice outcomes, and 3 were disease free. This study demonstrates the effectiveness of voice prosthesis placement at the time of primary TEP associated with free tissue reconstruction of a laryngopharyngeal defect with salivary bypass tube placement.
作者研究了在需要游离组织重建和唾液旁路管放置的喉咽切除术患者中，行原发性气管食管造口术（TEP）并在术中放置人工发声器的可行性和优势。共确定了 6 名患者；其中 4 名患者行全喉咽切除术，2 名患者行全喉切除术伴部分咽切除术。所有 6 名患者均需游离组织重建，所有病例均放置唾液旁路管。所有患者均置入 20F 留置式 Blom-Singer 假体（InHealth Technologies，加利福尼亚州卡皮蒂纳）。术中假体放置无并发症。术后无假体移位。6 个月时，4 名可评估的患者获得了成功的发声效果，3 名患者无疾病。本研究表明，在游离组织重建喉咽缺损并放置唾液旁路管的同时行原发性 TEP 并放置人工发声器是有效的。
