Palmer Trace T, Hopper Samuel J, Murray M Caroline, Ho John, Oglesby Kacie R, Sanford Paige, Paul Oishika, Alston Josephine S, Jefferson Gina D, Jackson Lana L, Kane Anne C
Department of Otolaryngology-Head and Neck Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA.
School of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Otolaryngol Head Neck Surg. 2025 Feb;172(2):702-705. doi: 10.1002/ohn.1095. Epub 2024 Dec 18.
Tracheoesophageal puncture (TEP) is the gold standard for voice rehabilitation after total laryngectomy (TL). Retrospective analysis was performed of TEP outcomes in patients between 2013 and 2020 at a single tertiary hospital. TEP was performed primarily in 79%, secondarily in 6%, and not placed in 15% of 226 patients. Within the study population, 53.4% utilized their TEP, including 52% of primary and 71.4% of secondary TEPs. TEP-related complication occurred in 50.8%, including 50.8% of primary and 50% of secondary TEPs. Secondary TEP was less likely in Black versus White patients, and more likely in patients undergoing pharyngectomy. Older patients and those with TEP complications were less likely to utilize TEP. Our study, performed in a TL population of predominantly lower socioeconomic status, showed high complication rates and low rates of utilization overall. Our findings suggest secondary TEP may be favorable to allow increased pre-operatively counseling and patient healing prior to procedure.
气管食管穿刺（TEP）是全喉切除术后（TL）语音康复的金标准。对一家三级医院2013年至2020年期间患者的TEP结果进行了回顾性分析。在226例患者中，79%主要进行了TEP，6%次要进行了TEP，15%未进行TEP。在研究人群中，53.4%使用了他们的TEP，包括52%的主要TEP和71.4%的次要TEP。TEP相关并发症发生率为50.8%，包括50.8%的主要TEP和50%的次要TEP。与白人患者相比，黑人患者进行次要TEP的可能性较小，而接受咽切除术的患者进行次要TEP的可能性较大。老年患者和有TEP并发症的患者使用TEP的可能性较小。我们在主要为社会经济地位较低的TL人群中进行的研究显示，总体并发症发生率较高，使用率较低。我们的研究结果表明，次要TEP可能有利于在手术前增加咨询和患者愈合时间。
