In-Office Secondary Tracheoesophageal Puncture with Immediate Prosthesis Placement.

T racheoesophageal puncture (TEP) is the preferred method for voice restoration following total laryngectomy. While several techniques for secondary puncture have been described, most require general anesthesia or intravenous sedation. Techniques for in-office, unsedated secondary TEP have been developed but are limited due to patient discomfort, inability… CONTINUE READING