Primary versus delayed tracheoesophageal puncture for laryngopharyngectomy with free flap reconstruction

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Abstract

Objectives: To determine whether postoperative complication rates and speech outcomes differ between patients undergoing primary versus secondary tracheoesophageal puncture following total laryngectomy with free flap reconstruction. Study Design: Retrospective clinical study in a tertiary academic center. Methods: Between November 2004 and June 2010, 137 patients underwent total laryngectomy or laryngopharyngectomy with pharyngeal free flap reconstruction for malignant disease. Data was collected on patient and operative demographics, early postoperative complications, speech outcomes, and predictive factors for tracheoesophageal puncture failure. Results: Thirty patients (22%) had a primary tracheoesophageal puncture performed at the time of laryngectomy, 27 patients (20%) received secondary punctures (>3 months postlaryngectomy), and 80 patients (58%) never received a puncture. Patient and operative demographics were similar between groups (P

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Sinclair, C. F., Rosenthal, E. L., McColloch, N. L., Magnuson, J. S., Desmond, R. A., Peters, G. E., & Carroll, W. R. (2011). Primary versus delayed tracheoesophageal puncture for laryngopharyngectomy with free flap reconstruction. Laryngoscope, 121(7), 1436–1440. https://doi.org/10.1002/lary.21836

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