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Long-term Results with Tracheoesophageal Voice Prosthesis: Primary versus secondary TEP

  • Laryngology
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Abstract

The aim of this study was to evaluate the influence of timing of tracheoesophageal puncture (TEP)with indwelling voice prosthesis insertion regarding long-term success rate and postoperative complication. We conducted a Retrospective clinical study at tertiary academic center. There were 75 patients with primary TEP (80.6%) and 18 with secondary TEP (19.3%). Long-term success rate was 81.7%, with 80.0% in primary TEP and 88.9% in secondary TEP. No significant difference in Harrison-Robillard-Schultz Rating Scale success assessment were observed between patients with primary and secondary TEP (P = .596). The use of postoperative radiotherapy did not significantly influence the success rate. The age of patients who were older or younger than 60 years significantly influence the success rate in primary TEP (P = .012). The higher rate of complications in primary TEP was not statistically significant. These findings suggest that primary and secondary TEP are equally safe and effective procedures. Primary TEP should be prefered because of avoiding a second surgical intervention and allowing early voice restoration with a considerable psychological impact.

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Authors and Affiliations

  1. ENT Department and Regional Center for Head and Neck Cancer, University of Padua-School of Medicine, Treviso Regional Hospital, Treviso, Italy

    Paolo Boscolo-Rizzo, Federica Zanetti, Silvia Carpené & Maria Cristina Da Mosto

  2. Viale Umbria 6, IT-30019, Chioggia, Venezia, Italy

    Paolo Boscolo-Rizzo

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  1. Paolo Boscolo-Rizzo
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  2. Federica Zanetti
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  3. Silvia Carpené
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  4. Maria Cristina Da Mosto
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Correspondence to Paolo Boscolo-Rizzo.

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Boscolo-Rizzo, P., Zanetti, F., Carpené, S. et al. Long-term Results with Tracheoesophageal Voice Prosthesis: Primary versus secondary TEP. Eur Arch Otorhinolaryngol 265, 73–77 (2008). https://doi.org/10.1007/s00405-007-0423-9

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  • DOI: https://doi.org/10.1007/s00405-007-0423-9

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