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Flexible endoscopic tracheo-oesophageal puncture under local anaesthetic

Published online by Cambridge University Press:  29 June 2007

Ga Sze Hong ,
A. B. John ,
David Theobald  and
Khee Chee Soo
Ga Sze Hong*
Affiliation:
Department of Surgery, Singapore General Hospital, Singapore
A. B. John
Affiliation:
Department of Otolaryngologyt, Tan Tock Seng Hospital, Singapore
David Theobald
Affiliation:
Department of Surgery, Singapore General Hospital, Singapore
Khee Chee Soo
Affiliation:
Department of Surgery, Singapore General Hospital, Singapore
*
Dr Hong Ga Sze, Senior Registrar, Department of Surgery, Singapore General Hospital, Outram Road, Singapore 0316, Republic of Singapore.
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Abstract

Blom—Singer valve prosthesis is an increasingly popular technique for voice rehabilitation in alaryngeal patients. Although primary voice puncture is being practised, the creation of the tracheo-oesophageal fistula is performed in the majority of patients as a secondary procedure.

We describe a technique of secondary tracheo-oesophageal puncture using the flexible endoscope which can be performed under local anaesthetic and sedation. The technique overcomes the difficulty of passing a rigid oesophagoscope or forceps to the level of the tracheostome in a scarred and irradiated neck. The new technique also obviates the need for general anaesthesia.

We have successfully used the technique in three patients.

Keywords

Tracheo-oesophageal fistulaLarynxartificialEndoscopyflexibleAnaesthesialocal
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 11 , November 1995 , pp. 1077 - 1079
Copyright
Copyright © JLO (1984) Limited 1995

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References

Garth, R. J. N., McRae, A., RhS's-Evans, P. H. (1991) Tracheo-oesophageal puncture: a review of problems and complications. Journal of Laryngology and Otology 105: 750–754.CrossRefGoogle ScholarPubMed
Rhs-Evans, P. H. (1991) Tracheo–oesophageal puncture without tears: the forceps technique. Journal of Laryngology and Otology 105: 748–749.CrossRefGoogle Scholar
Silver, F. M., Fluckman, J. L., Donegan, J. O. (1985) Operative complications of tracheo-oesophageal puncture. Laryngoscope 95: 1360–1362.CrossRefGoogle Scholar
Singer, M. I., Blom, E. D. (1980) An endoscopic technique for restoration of voice after laryngectomy. Annals of Otology, Rhinology and Laryngology 89: 529–533.Google Scholar