Abstract：
Tracheoesophageal (TE) puncture with voice prosthesis placement is a common method for vocal rehabilitation in patients who have undergone total laryngectomy. Tracheoesophageal voice prosthesis (TEP) placement after laryngectomy, known as secondary TE puncture, is traditionally done in the operating room, using rigid esophagoscopy. Traditional secondary TEP placement carries a number of downsides including risks associated with general anesthesia, high cost, and technical challenges associated with anatomical variables. As a result, in-office secondary TE puncture has become an increasingly utilized procedure with many advantages but currently lacks standardization. Here, we describe a kit-based, awake, in-office secondary TE puncture with primary TEP placement technique. This technique calls for an endoscopic snare in the event there is difficulty passing the guidewire in the cranial trajectory. No surgical technique videos demonstrating in-office secondary TE puncture currently exist. Here, we present a video tutorial of our technique, breaking down the procedure into 10 steps from analgesia to voicing.
摘要：
气管食管（TE）穿刺和语音假体放置是全喉切除术患者声带康复的常用方法。喉切除术后气管食管语音假体（TEP）放置，称为二次TE穿刺，传统上是在手术室完成的，使用刚性食管镜检查。传统的二次TEP放置有许多缺点，包括与全身麻醉相关的风险，高成本,以及与解剖学变量相关的技术挑战。因此,办公室二次TE穿刺已成为一种越来越广泛使用的手术，具有许多优点，但目前缺乏标准化。这里,我们描述了一个基于套件的，醒着,使用主要TEP放置技术的办公室二次TE穿刺。如果在颅骨轨迹中难以通过导丝，则该技术需要内窥镜圈套器。目前没有显示办公室二次TE穿刺的手术技术视频。这里,我们展示了我们技术的视频教程，将手术从镇痛到发声分为10个步骤。
