Shaver Timothy Brandon, Youner Emily, Joshi Arjun S
Division of Otolaryngology-Head and Neck Surgery, George Washington University Medical Faculty Associates, Washington, DC, USA.
George Washington School of Medicine and Health Sciences, Washington, DC, USA.
Ultrasound. 2023 Aug;31(3):236-238. doi: 10.1177/1742271X221147719. Epub 2023 Jan 27.
In patients who undergo a total laryngectomy, one of the most common techniques for voice rehabilitation is a tracheoesophageal prosthesis. Typically, this is accomplished using an endoscope down the oesophagus to visualise puncturing of the posterior tracheal wall; however, we present a case in which the use of an endoscope was not feasible, and a novel technique had to be utilised.
A mid-70s male who had a total laryngectomy secondary to laryngeal carcinoma was undergoing tracheoesophageal puncture for prosthesis placement, when it was noted that he had significant stenosis of his proximal oesophagus, precluding the use of an endoscope. The senior author decided to use intraoperative ultrasound to visualise the oesophageal lumen for proper placement of the puncture.
This case demonstrates the ability of intraoperative ultrasound to visualise the oesophageal lumen and accurately place the tracheoesophageal puncture in cases where an endoscope cannot be used.
We present a novel technique in which ultrasound was used to visualise the oesophageal lumen and identify the needle puncturing the posterior tracheal wall for placement of a tracheoesophageal prosthesis.
在接受全喉切除术的患者中，语音康复最常用的技术之一是气管食管发音钮。通常，这是通过将内窥镜经食管插入以观察气管后壁穿刺来完成的；然而，我们报告了一例无法使用内窥镜的病例，因此必须采用一种新技术。
一名70多岁的男性因喉癌接受了全喉切除术，在进行气管食管穿刺以放置发音钮时，发现其近端食管严重狭窄，无法使用内窥镜。资深作者决定使用术中超声来观察食管腔，以便正确放置穿刺针。
该病例表明，在无法使用内窥镜的情况下，术中超声能够观察食管腔并准确进行气管食管穿刺。
我们介绍了一种新技术，即使用超声观察食管腔并确定穿刺针穿刺气管后壁以放置气管食管发音钮。
