Vol.99 No.1 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 99 No. 1 January 2006
Tracheoesopahgeal Puncture Using Percutaneous
Trans Esophageal Gastro (PTEG) Tube
Yorihisa Orita, Saeko Orita, Akihiro Kawasaki, Ayako Takeuchi,
Shigenobu Nomiya, Kunihiro Fukushima and Kazunori Nishizaki
(Okayama University)
Michiya Kosaka
(Kosaka ENT Clinic)
Manabu Maeta
(Maeta ENT Hospital Clinic)
Prosthetic voice restoration with tracheoesophageal puncture has become the preferred method of speech rehabilitation of laryngectomized patients. The endoscopic technique for insertion of voice prosthesis, which has been reported by Singer and Blom, might encounter some surgical problems in special cases due to patients having difficulty in stretching their neck or the reconstruction with a free jejunal graft. An easy and safe method is described for the insertion of a Provox2? voice prosthesis using a percutaneous trans gastro (PTEG) tube equipped with a rupture free balloon. This method has made it possible to perform insertion of Provox2? under local anesthesia in almost all cases.
Key words : tracheoesophageal puncture, percutaneous trans gastro (PTEG) tube, Provox2