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Flexible endoscopic tracheo-oesophageal puncture under local anaesthetic

Published online by Cambridge University Press:  29 June 2007

Ga Sze Hong ,
A. B. John ,
David Theobald  and
Khee Chee Soo
Ga Sze Hong*
Affiliation:
Department of Surgery, Singapore General Hospital, Singapore
A. B. John
Affiliation:
Department of Otolaryngologyt, Tan Tock Seng Hospital, Singapore
David Theobald
Affiliation:
Department of Surgery, Singapore General Hospital, Singapore
Khee Chee Soo
Affiliation:
Department of Surgery, Singapore General Hospital, Singapore
*
Dr Hong Ga Sze, Senior Registrar, Department of Surgery, Singapore General Hospital, Outram Road, Singapore 0316, Republic of Singapore.
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Abstract

Blom—Singer valve prosthesis is an increasingly popular technique for voice rehabilitation in alaryngeal patients. Although primary voice puncture is being practised, the creation of the tracheo-oesophageal fistula is performed in the majority of patients as a secondary procedure.

We describe a technique of secondary tracheo-oesophageal puncture using the flexible endoscope which can be performed under local anaesthetic and sedation. The technique overcomes the difficulty of passing a rigid oesophagoscope or forceps to the level of the tracheostome in a scarred and irradiated neck. The new technique also obviates the need for general anaesthesia.

We have successfully used the technique in three patients.

Keywords

Tracheo-oesophageal fistulaLarynxartificialEndoscopyflexibleAnaesthesialocal
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 11 , November 1995 , pp. 1077 - 1079
Copyright
Copyright © JLO (1984) Limited 1995

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References

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