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Charles Juarbe, MD; Larry Shemen, MD; Robert Wang, MD; Vijay Anand, MD; Robert Eberle, MD; Ann Sirovatka, MS; Kathy Malanaphy, MA; Iris Klatsky, MA

Arch Otolaryngol Head Neck Surg. 1989;115(3):356-359.

Abstract
• Tracheoesophageal puncture was performed in ten of our patients undergoing extended laryngopharyngectomy. Three fistulas were allowed to close, and two patients were dissatisfied with their results, which allowed for an overall 50% success rate in this subgroup. The resultant voice was objectively compared with similar groups of patients undergoing primary and secondary tracheoesophageal puncture after standard laryngectomy. There was no significant difference in maximum phonation time, average speaking intensity, and average fundamental frequency between these groups. However, the maximum intensity and average intensity were significantly lower for the flap group. Our results indicate that tracheoesophageal puncture should be attempted in patients undergoing the extended procedure, notwithstanding a lower expected success rate.

(Arch Otolaryngol Head Neck Surg 1989;115:356-359)

Author Affiliations
From the Department of Otolaryngology–Head and Neck Surgery, Manhattan Eye, Ear and Throat Hospital, New York.

Footnotes
Accepted for publication Nov 4, 1988.

Read before the Second International Conference on Head and Neck Cancer, Boston, Aug 2, 1988.

Reprint requests to 1430 Second Ave, New York, NY 10021 (Dr Shemen).

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