This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
At the recent southern sectional meeting of the Triological Society in Naples, Fla, Dr Tony Maniglia and coworkers, Cleveland, Ohio, reported on a retrospective analysis of 95 patients undergoing creation of tracheoesophageal fistulas for speech restoration after total laryngectomy. Thirty-three patients underwent creation of the tracheoesophageal fistula (primarily) at the time of initial surgery. The long-term success rate for speech development was 85% when the tracheoesophageal fistula creation was performed at the time of the initial procedure, as compared with 76% for the secondary tracheoesophageal fistula. Complication rates for primary and secondary procedures were 36% and 23%, respectively. Even though the data did not reflect a statistically significant difference, the authors demonstrated the effectiveness and safety of the creation of a tracheoesophageal fistula primarily, without severe complications and with long-term success rates.
FISHER R. Speech Restoration and Complications of Primary vs Secondary Tracheoesophageal Function Following Total Laryngectomy. Arch Otolaryngol Head Neck Surg. 1989;115(8):906. doi:10.1001/archotol.1989.01860320016008
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: