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Timing of tracheoesophageal puncture for voice restoration: Primary vs secondary.
We conclude that in light of the device's simplicity, low cost, and minimal maintenance requirements with regard to the fistula site, the Stout prosthesis should be considered as an alternative to the standard tracheoesophageal puncture method for patients who are unable to comply with the latter's maintenance requirements and for those in poorly developed countries where costs and hygiene are paramount considerations.
He had come to our center with a chief complaint of a failed tracheoesophageal puncture (TEP) prosthesis.
Tracheoesophageal puncture techniques have greatly improved voice restoration rates following total laryngectomy, and most patients are able to speak in a hoarse but natural-sounding voice.
Botulinum toxin can be used to correct voice failure following tracheoesophageal puncture and dysphagia secondary to cricopharyngeal spasm.