{Reference Type}: Journal Article
{Title}: Primary fit tracheoesophageal puncture in primary versus salvage laryngectomy: Short-term and long-term complications and functional outcomes.
{Author}: Kanyo EC;Wu SS;Reddy CA;Silver NL;Lamarre ED;Burkey BB;Prendes BL;Scharpf J;Lorenz RR;Kmiecik J;Ku JA;
{Journal}: Head Neck
{Volume}: 0
{Issue}: 0
{Year}: 2024 Apr 24
{Factor}: 3.821
{DOI}: 10.1002/hed.27788
{Abstract}: <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.