Video laryngoscopy-assisted secondary tracheoesophageal puncture placement for the patient with severely limited neck extension

Emily E. Crozier, Kevin Klein, Janis Deane, Laura E. Toles, Larry L. Myers

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Secondary tracheoesophageal puncture (TEP) placement in patients with severe limitations in neck extension is challenging. Visualization of the hypopharynx with traditional rigid endoscopy may not be possible. We report using the C-MAC (Karl Storz, Tuttlingen, Germany) video laryngoscope to successfully place a secondary TEP in patient with severe radiation fibrosis at a tertiary referral center. A 59-year-old male with severe radiation fibrosis of the neck underwent total laryngectomy for a nonfunctioning larynx. His primary TEP dislodged in the early postoperative period and the patient requested secondary TEP and voice prosthesis. The result was a successful, properly positioned, placement of a secondary TEP. Videolaryngoscopy should be included in the surgeon's armamentarium of techniques to effectively and safely perform secondary TEP in anatomically difficult patients.

Original languageEnglish (US)
Pages (from-to)134-136
Number of pages3
JournalLaryngoscope
Volume122
Issue number1
DOIs
StatePublished - Jan 1 2012

Keywords

  • Secondary tracheoesophageal puncture
  • alaryngeal speech
  • laryngectomy
  • radiation therapy

ASJC Scopus subject areas

  • Otorhinolaryngology

Fingerprint Dive into the research topics of 'Video laryngoscopy-assisted secondary tracheoesophageal puncture placement for the patient with severely limited neck extension'. Together they form a unique fingerprint.

  • Cite this