Tracheoesophageal Puncture Outcomes at a Safety Net Hospital.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY Otolaryngology- Head and Neck Surgery Pub Date : 2024-12-18 DOI:10.1002/ohn.1095

Trace T Palmer, Samuel J Hopper, M Caroline Murray, John Ho, Kacie R Oglesby, Paige Sanford, Oishika Paul, Josephine S Alston, Gina D Jefferson, Lana L Jackson, Anne C Kane

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Abstract

Tracheoesophageal puncture (TEP) is the gold standard for voice rehabilitation after total laryngectomy (TL). Retrospective analysis was performed of TEP outcomes in patients between 2013 and 2020 at a single tertiary hospital. TEP was performed primarily in 79%, secondarily in 6%, and not placed in 15% of 226 patients. Within the study population, 53.4% utilized their TEP, including 52% of primary and 71.4% of secondary TEPs. TEP-related complication occurred in 50.8%, including 50.8% of primary and 50% of secondary TEPs. Secondary TEP was less likely in Black versus White patients, and more likely in patients undergoing pharyngectomy. Older patients and those with TEP complications were less likely to utilize TEP. Our study, performed in a TL population of predominantly lower socioeconomic status, showed high complication rates and low rates of utilization overall. Our findings suggest secondary TEP may be favorable to allow increased pre-operatively counseling and patient healing prior to procedure.

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一家安全网医院的气管食管穿刺结果。

气管食管穿刺术（TEP）是全喉切除术（TL）后嗓音康复的金标准。我们对一家三甲医院 2013 年至 2020 年间患者的 TEP 结果进行了回顾性分析。在 226 名患者中，79% 的患者主要使用了 TEP，6% 的患者次要使用，15% 的患者未使用。在研究人群中，53.4%的患者使用了TEP，包括52%的主要TEP和71.4%的次要TEP。与 TEP 相关的并发症发生率为 50.8%，包括 50.8%的初次 TEP 和 50%的二次 TEP。黑人与白人患者相比，继发性 TEP 的发生率较低，而接受咽喉切除术的患者则更有可能发生继发性 TEP。年龄较大和有 TEP 并发症的患者使用 TEP 的可能性较低。我们的研究是在社会经济地位较低的 TL 群体中进行的，结果显示并发症发生率较高，而总体使用率较低。我们的研究结果表明，二次 TEP 可能有利于增加术前咨询和患者术前愈合。

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来源期刊

Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

6.70

自引率

2.90%

发文量

250

审稿时长

2-4 weeks

期刊介绍： Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.