Premium
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).).