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  • Cited by 5
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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Lau, David P. Chng, Chin Boon and Chui, Chee Kong 2014. New device for single-stage in-office secondary tracheoesophageal puncture: Animal studies. Head & Neck, Vol. 36, Issue. 6, p. 882.

    Pagedar, Nitin A. Bayon, Rodrigo Gudgeon, Jocelen Nelson, Rick F. Van Daele, Douglas J. and Hoffman, Henry T. 2014. Tracheoesophageal puncture with immediate prosthesis placement. The Laryngoscope, Vol. 124, Issue. 2, p. 466.

    Chan, Jimmy Y.W. 2013. Practice of laryngectomy rehabilitation interventions. Current Opinion in Otolaryngology & Head and Neck Surgery, Vol. 21, Issue. 3, p. 205.

    Deschler, Daniel G. Emerick, Kevin S. Lin, Derrick T. and Bunting, Glenn W. 2011. Simplified technique of tracheoesophageal prosthesis placement at the time of secondary tracheoesophageal puncture (TEP). The Laryngoscope, p. n/a.

    Trivedi, N P Kekatpure, V Kuriakose, M A and Iyer, S 2009. Safe and simple method for secondary tracheoesophageal puncture using curved forceps. The Journal of Laryngology & Otology, Vol. 123, Issue. 10,


Insertion of Provox®2 voice prosthesis using the anterograde technique immediately after the secondary tracheoesophageal puncture

  • Raymond W M Ng (a1), Paul Lam (a1) and Birgitta Y H Wong (a1)
  • DOI:
  • Published online: 01 December 2005

Insertion of a voice prosthesis through the tracheoesophageal puncture (TEP) is one way to restore the voice after total laryngectomy. The second generation Provox® voice prosthesis is presently one of the most popular devices. Although TEP can be done primarily, there are many centres that prefer it to be done at a second stage for various reasons. However, secondary TEP for retrograde replacement of prosthesis can be difficult and general anaesthesia is very often necessary. Moreover, the presence of neck stiffness and fibrosis from the surgery or previous radiotherapy could affect the neck extension for proper positioning of the trocar. Similarly, it is difficult to insert the prosthesis if there is stenosis at the pharyngoesophageal segment. We describe a technique in which creation of secondary TEP and insertion of Provox®2 is done with local anaesthesia under the same setting. The procedure is well tolerated and can be safely performed on an out-patient basis.

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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