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Article: Insertion of Provox®2 voice prosthesis using the anterograde technique immediately after the secondary tracheoesophageal puncture

TitleInsertion of Provox®2 voice prosthesis using the anterograde technique immediately after the secondary tracheoesophageal puncture
Authors
Issue Date2005
PublisherCambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=JLO
Citation
Journal of Laryngology and Otology, 2005, v. 119 n. 12, p. 988-990 How to Cite?
AbstractInsertion of a voice prosthesis through the tracheoesophageal puncture (TEP) is one way to restore the voice after total laryngectomy. The second generation Provox voice prosthesis is presently one of the most popular devices. Although TEP can be done primarily, there are many centres that prefer it to be done at a second stage for various reasons. However, secondary TEP for retrograde replacement of prosthesis can be difficult and general anaesthesia is very often necessary. Moreover, the presence of neck stiffness and fibrosis from the surgery or previous radiotherapy could affect the neck extension for proper positioning of the trocar. Similarly, it is difficult to insert the prosthesis if there is stenosis at the pharyngoesophageal segment. We describe a technique in which creation of secondary TEP and insertion of Provox2 is done with local anaesthesia under the same setting. The procedure is well tolerated and can be safely performed on an out-patient basis.
Persistent Identifierhttp://hdl.handle.net/10722/45369
ISSN
2015 Impact Factor: 0.736
2015 SCImago Journal Rankings: 0.447
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorNg, RWMen_HK
dc.contributor.authorLam, Pen_HK
dc.contributor.authorWong, BYHen_HK
dc.date.accessioned2007-10-30T06:23:58Z-
dc.date.available2007-10-30T06:23:58Z-
dc.date.issued2005en_HK
dc.identifier.citationJournal of Laryngology and Otology, 2005, v. 119 n. 12, p. 988-990en_HK
dc.identifier.issn0022-2151en_HK
dc.identifier.urihttp://hdl.handle.net/10722/45369-
dc.description.abstractInsertion of a voice prosthesis through the tracheoesophageal puncture (TEP) is one way to restore the voice after total laryngectomy. The second generation Provox voice prosthesis is presently one of the most popular devices. Although TEP can be done primarily, there are many centres that prefer it to be done at a second stage for various reasons. However, secondary TEP for retrograde replacement of prosthesis can be difficult and general anaesthesia is very often necessary. Moreover, the presence of neck stiffness and fibrosis from the surgery or previous radiotherapy could affect the neck extension for proper positioning of the trocar. Similarly, it is difficult to insert the prosthesis if there is stenosis at the pharyngoesophageal segment. We describe a technique in which creation of secondary TEP and insertion of Provox2 is done with local anaesthesia under the same setting. The procedure is well tolerated and can be safely performed on an out-patient basis.en_HK
dc.format.extent225844 bytes-
dc.format.extent1839 bytes-
dc.format.extent2007 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypetext/plain-
dc.languageengen_HK
dc.publisherCambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=JLOen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsJournal of Laryngology and Otology. Copyright © Cambridge University Press.en_HK
dc.subject.meshLaryngectomyen_HK
dc.subject.meshLarynx, Artificialen_HK
dc.subject.meshProsthesis Implantation - instrumentation - methodsen_HK
dc.subject.meshVoice Disorders - surgeryen_HK
dc.subject.meshPuncturesen_HK
dc.titleInsertion of Provox®2 voice prosthesis using the anterograde technique immediately after the secondary tracheoesophageal punctureen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-2151&volume=119&issue=12&spage=988&epage=990&date=2005&atitle=Insertion+of+Provox®2+voice+prosthesis+using+the+anterograde+technique+immediately+after+the+secondary+tracheoesophageal+punctureen_HK
dc.identifier.emailNg, RWM: ngwmr@hkucc.hku.hken_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.doi10.1258/002221505775010850en_HK
dc.identifier.pmid16354365-
dc.identifier.scopuseid_2-s2.0-29244452114-
dc.identifier.hkuros112850-
dc.identifier.isiWOS:000234042800014-
dc.identifier.citeulike421560-

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