Primary versus Delayed Tracheoesophageal Puncture in Patients with Free Flap Reconstruction of Laryngopharyngectomy Defects | Zendy

Sinclair Catherine F. | Zendy; Rosenthal Eben L. | Zendy; McColloch Nancy L. | Zendy; Magnuson J. Scott | Zendy; Desmond Renee' A. | Zendy; Peters Glenn E. | Zendy; Carroll William R. | Zendy

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Primary versus Delayed Tracheoesophageal Puncture in Patients with Free Flap Reconstruction of Laryngopharyngectomy Defects

Author(s) -

Sinclair Catherine F.,

Rosenthal Eben L.,

McColloch Nancy L.,

Magnuson J. Scott,

Desmond Renee' A.,

Peters Glenn E.,

Carroll William R.

Publication year - 2011

Publication title -

the laryngoscope

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.181

H-Index - 148

eISSN - 1531-4995

pISSN - 0023-852X

DOI - 10.1002/lary.22037

Subject(s) - otorhinolaryngology , head and neck surgery , medicine , head and neck , general surgery , unit (ring theory) , surgery , psychology , mathematics education

Results Thirty patients (22%) had a primary TEP performed at the time of TL, 27 patients (20%) received secondary punctures (>3 months post TL), and 80 patients (58%) never received a TEP. Patient and operative demographics were similar between groups (p>0.05), apart from proportionately more hypopharyngeal tumors in the ‘no TEP’ group (p=0.002). Similar numbers of patients in primary and secondary TEP groups achieved functional speech (67% vs 71%, p=0.82). Median time to voice acquisition was 56 days for the primary group and 200 days for the secondary group. Salvage surgery and non-patch radial forearm free flap reconstruction both trended towards increased early postoperative complication rates (p=0.09).).

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