Korean J Otorhinolaryngol-Head Neck Surg.  2024 Oct;67(10):551-554. 10.3342/kjorl-hns.2023.01186.

A Case of Tracheogastric Puncture Using Transnasal Esophagoscopy After Total Laryngopharyngoesophagectomy and Gastric Pull-Up Reconstruction

• Han S
• Kang SJ
• Kim JH
• Park MW

• KMID: 2560304
• DOI: http://doi.org/10.3342/kjorl-hns.2023.01186

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.

Keyword

Esophagectomy; Esophagoscopy; Laryngectomy; Speech, alaryngeal; Voice prosthesis