Abstract：
BACKGROUND: Primary fit tracheoesophageal puncture (TEP) is widely preferred for individuals who have not undergone prior radiation. However, there is no consensus on the relative utility of primary-fit TEP in the setting of salvage laryngectomy.
METHODS: A retrospective, single-center review was conducted of individuals undergoing laryngectomy with primary fit TEP between 2012 and 2018. Multivariable analysis was conducted to compare short-term and long-term complications, as well as speech and swallowing outcomes, of those who underwent primary versus salvage laryngectomy.
RESULTS: In this study, 134 patients underwent total laryngectomy with primary fit TEP. Aside from a higher rate of peristomal dehiscence (13.1% vs. 1.4%) found in the salvage group, there was no difference in incidence of all other complications, including pharyngocutaneous fistula formation. The groups had comparable speech and swallow outcomes.
CONCLUSIONS: Primary fit TEP is a safe and effective surgical choice for individuals undergoing salvage laryngectomy who desire a voice prosthesis.
METHODS: A retrospective, single-center review was conducted of individuals undergoing laryngectomy with primary fit TEP between 2012 and 2018. Multivariable analysis was conducted to compare short-term and long-term complications, as well as speech and swallowing outcomes, of those who underwent primary versus salvage laryngectomy.
RESULTS: In this study, 134 patients underwent total laryngectomy with primary fit TEP. Aside from a higher rate of peristomal dehiscence (13.1% vs. 1.4%) found in the salvage group, there was no difference in incidence of all other complications, including pharyngocutaneous fistula formation. The groups had comparable speech and swallow outcomes.
CONCLUSIONS: Primary fit TEP is a safe and effective surgical choice for individuals undergoing salvage laryngectomy who desire a voice prosthesis.
摘要：
背景：初次吻合气管食管穿刺（TEP）广泛适用于未接受过放射的个体。然而,对于初次适合的TEP在挽救性喉切除术中的相对实用性尚无共识。
方法：回顾性研究，我们对2012年至2018年期间接受初次适合TEP的喉切除术的患者进行了单中心审查.进行多变量分析以比较短期和长期并发症，以及言语和吞咽结果，接受原发性喉切除术与挽救性喉切除术的患者。
结果：在这项研究中，134例患者接受了原发性TEP的全喉切除术。除了较高的造口周围裂开率（13.1％vs.1.4%)在打捞组中发现，所有其他并发症的发生率没有差异，包括咽部皮肤瘘的形成。两组的言语和吞咽结果具有可比性。
结论：对于需要语音假体的接受挽救性喉切除术的患者来说，初级适配TEP是一种安全有效的手术选择。
方法：回顾性研究，我们对2012年至2018年期间接受初次适合TEP的喉切除术的患者进行了单中心审查.进行多变量分析以比较短期和长期并发症，以及言语和吞咽结果，接受原发性喉切除术与挽救性喉切除术的患者。
结果：在这项研究中，134例患者接受了原发性TEP的全喉切除术。除了较高的造口周围裂开率（13.1％vs.1.4%)在打捞组中发现，所有其他并发症的发生率没有差异，包括咽部皮肤瘘的形成。两组的言语和吞咽结果具有可比性。
结论：对于需要语音假体的接受挽救性喉切除术的患者来说，初级适配TEP是一种安全有效的手术选择。
