Abstract
This study aims to propose a novel surgical technique to rehabilitate patients with long term complication of trachea-esophageal puncture and stomal stenosis. Ours is retrospective study. Ten patients with tracheo-esophageal puncture who developed long term complications and who failed conservative management were included in our study. Majority of our patients were males within the age group of 50–70 years of age. Most of our patients had received adjuvant radiotherapy (8/10). All patients had multiple change of prosthesis. Nine patients suffered from multiple complications of TEP. Most common complication was that of progressive thinning of trachea-esophageal wall. All the patients who underwent this procedure healed well without any major complications. Long term trachea-esophageal puncture may undergo significant modification in terms of position and size. This technique gives a satisfactory and viable method of excising the altered anatomy and establishes speech & swallowing in such patients who fail conservative management.
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R.P.D: Contributed to the design of study, collected samples, did data analysis and drafted the manuscript., S.A: Contributed to the design of study, data analysis, helped frame and edited the manuscript, Corresponding author for the manuscript, B.A.K. Contributed to the design of study, data analysis, helped frame and edited the manuscript, S.M.A.M Contributed to the design of study, data analysis, helped frame and edited the manuscript.
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This study was approved by institutional ethical committee,No.SDUMC/KLR/IEC/1778/2020–21.
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Deo, R.P., Sagayaraj, A., Kumar, B.A. et al. Tracheo-esophageal Puncture Revisited. Indian J Otolaryngol Head Neck Surg 74 (Suppl 2), 2404–2408 (2022). https://doi.org/10.1007/s12070-020-02162-8
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DOI: https://doi.org/10.1007/s12070-020-02162-8