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Stephen J. Wetmore, MD; Kathleen Krueger, MS, CCC; Kathleen Wesson, MA, CCC; Mary Lynn Blessing, RNP

Arch Otolaryngol. 1985;111(2):106-109.

Abstract
• We report a 64% long-term success rate in our series of 66 patients who have undergone the tracheoesophageal puncture (TEP) procedure with follow-up ranging from one to 3 years. Poor motivation and compliance were the most common factors noted in patients who failed to obtain or maintain tracheoesophageal speech. Other problems causing failure were technical problems relating to the TEP and medical problems. The success rate in the last 24 cases of our series has improved to 83%. The "collared" prosthesis, more careful patient selection, and emphasis on a team approach seem to be important factors for the higher success rate. The Blom-Singer TEP procedure is a safe, simple, and effective means of alaryngeal communication for selected patients.

(Arch Otolaryngol 1985;111:106-109)

Author Affiliations
From the Department of Otolaryngology and Maxillofacial Surgery, University of Arkansas for Medical Sciences (Dr Wetmore and Ms Wesson); and the Veterans Administration Medical Center (Dr Wetmore and Mss Krueger and Blessing), Little Rock, Ark.

Footnotes
Accepted for publication Sept 27, 1984.

Read in part before the International Conference on Head and Neck Cancer, Baltimore, July 25, 1984.

Reprint requests to the Department of Otolaryngology and Maxillofacial Surgery, 4301 W Markham, Slot 543, Little Rock, AR 72205 (Dr Wetmore).

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