Secondary tracheoesophageal puncture with a flexible transillumination device: a new technique and its outcomes

xlomafota13 shared this article with you from Inoreader Secondary tracheoesophageal puncture with a flexible transillumination device: a new technique and its outcomes Via Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial Braz J Otorhinolaryngol. 2021 Oct 17:S1808-8694(21)00158-0. doi: 10.1016/j.bjorl.2021.07.008. Online ahead of print. ABSTRACT OBJECTIVES: This study aims to describe a new secondary tracheoesophageal puncture technique with voice prosthesis insertion under local anesthesia with a low-cost device and evaluate its outcome. METHODS: With a transoral flexible transillumination device of aluminum of 2.3 mm with fiberoptic light, the esophagus's anterior wall is visualized through the tracheostomy. A tracheoesophageal fistula is made with a blade and passed through the fistula. Then a bent trocar is introduced into the lumen using the device as a guidewire. Once in the lumen, a thin guide wire is passed through up to the mouth. The voice prosthesis is positioned with retrograde insertion. Then, the patient is discharged without hospitalization. RESULTS: 15 patients submitted to this technique had a successful surgical outcome. Th ere were no complications as pneumothorax, esophageal perforation, bleeding, or hospitalization. CONCLUSION: The new device is feasible under local anesthesia. PMID:34716110 | DOI:10.1016/j.bjorl.2021.07.008 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.