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Video laryngoscopy-assisted secondary tracheoesophageal puncture placement for the patient with severely limited neck extension.

Authors
  • Crozier, Emily E
  • Klein, Kevin
  • Deane, Janis
  • Toles, Laura E
  • Myers, Larry L
Type
Published Article
Journal
The Laryngoscope
Publisher
Wiley (John Wiley & Sons)
Publication Date
Jan 01, 2012
Volume
122
Issue
1
Pages
134–136
Identifiers
DOI: 10.1002/lary.22388
PMID: 22095900
Source
Medline
License
Unknown

Abstract

Secondary tracheoesophageal puncture (TEP) placement in patients with severe limitations in neck extension is challenging. Visualization of the hypopharynx with traditional rigid endoscopy may not be possible. We report using the C-MAC (Karl Storz, Tuttlingen, Germany) video laryngoscope to successfully place a secondary TEP in patient with severe radiation fibrosis at a tertiary referral center. A 59-year-old male with severe radiation fibrosis of the neck underwent total laryngectomy for a nonfunctioning larynx. His primary TEP dislodged in the early postoperative period and the patient requested secondary TEP and voice prosthesis. The result was a successful, properly positioned, placement of a secondary TEP. Videolaryngoscopy should be included in the surgeon's armamentarium of techniques to effectively and safely perform secondary TEP in anatomically difficult patients.

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