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An improved method of flexible endoscopic creation of tracheoesophageal fistula for voice restoration

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Abstract.

We present improvements of a previously reported method of tracheoesophageal puncture for voice restoration in postlaryngectomy patients. Our method utilizes a flexible endoscope to enable the tracheoesophageal puncture to be made under direct visualization using only local anesthesia and intravenous sedation. After 3 days, the created tracheoesophageal fistula tract is mature enough to allow placement of a voice prosthesis in the office. This allows the entire procedure to be performed in an outpatient setting with minimal risk.

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Authors and Affiliations

  1. Section of Surgical Oncology, Comprehensive Cancer Center, Mount Sinai Medical Center, 4306 Alton Road, Miami Beach, FL 33140, USA, US

    H. Chan & T. Mesko

  2. Department of Gastroenterology, Mount Sinai Medical Center, University of Miami School of Medicine, 4300 Alton Road, Miami Beach, FL 33140, USA, US

    K. Fields & J. Barkin

Authors
  1. H. Chan
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  2. T. Mesko
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  3. K. Fields
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  4. J. Barkin
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Received: 24 October 1996/Accepted: 24 January 1997

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Chan, H., Mesko, T., Fields, K. et al. An improved method of flexible endoscopic creation of tracheoesophageal fistula for voice restoration. Surg Endosc 11, 1034–1035 (1997). https://doi.org/10.1007/s004649900520

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  • DOI: https://doi.org/10.1007/s004649900520

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