%0 Journal Article
%T Primary fit tracheoesophageal puncture in primary versus salvage laryngectomy: Short-term and long-term complications and functional outcomes.
%A Kanyo EC
%A Wu SS
%A Reddy CA
%A Silver NL
%A Lamarre ED
%A Burkey BB
%A Prendes BL
%A Scharpf J
%A Lorenz RR
%A Kmiecik J
%A Ku JA
%J Head Neck
%V 0
%N 0
%D 2024 Apr 24
%M 38655707
%F 3.821
%R 10.1002/hed.27788
%X <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>Primary fit TEP is a safe and effective surgical choice for individuals undergoing salvage laryngectomy who desire a voice prosthesis.