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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Epub ahead of print

doi: https://doi.org/10.3342/kjorl-hns.2023.01186    [Epub ahead of print]
A Case of Tracheogastric Puncture Using Transnasal Esophagoscopy After Total Laryngopharyngoesophagectomy and Gastric Pull-Up Reconstruction
Sujin Han , Sin Jae Kang , Jue Hee Kim, Min Woo Park
Department of Otorhinolaryngology-Head and Neck Surgery, Kangdong Sacred Heart Hospital, Seoul, Korea
전후두인두식도절제술 후 위간치술을 받은 환자에서 경비식도내시경술을 이용한 기관위천자 1예
한수진 , 강신재 , 김주희, 박민우
강동성심병원 이비인후-두경부외과
Correspondence  Min Woo Park ,Tel: +82-2-2224-2279, Fax: +82-2-482-2279, Email: subintern@kdh.or.kr
Received: 29 November 2023; Revised: January 19, 2024   Accepted: 29 January 2024.  Published online: 10 July 2024.
ABSTRACT
Voice rehabilitation after total laryngopharyngoesophagectomy is a significant challenge, especially when accompanied by gastric pull-up reconstruction. In 2021, a study revealed that tracheoesophageal puncture is also safe and feasible option for voice rehabilitation in patients who underwent gastric pull-up surgery. Here, we report for the first time in South Korea a case that represents an instance of voice prosthesis insertion after gastric pull-up surgery. The case demonstrates the feasibility and safety of voice prosthesis insertion in patients who undergo total laryngopharyngoesophagectomy and gastric pull-up surgery, providing evidence that voice prosthesis insertion is achievable and can be performed in the outpatient setting using transnasal esophagoscopy.
Keywords: Esophagectomy Esophagoscopy Laryngectomy Speech, alaryngeal Voice prosthesis
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