Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Enlarged tracheoesophageal puncture after total laryngectomy: A systematic review and meta‐analysis

Enlarged tracheoesophageal puncture after total laryngectomy: A systematic review and meta‐analysis Background Enlargement of the tracheoesophageal puncture (TEP) is a challenging complication after laryngectomy with TEP. We sought to estimate the rate of enlarged puncture, associated pneumonia rates, potential risk factors, and conservative treatments excluding complete surgical TEP closure. Methods A systematic review was conducted (1978–2008). A summary risk estimate was calculated using a random‐effects meta‐analysis model. Results Twenty‐seven peer‐reviewed manuscripts were included. The rate of enlarged puncture and/or leakage around the prosthesis was reported in 23 articles (range, 1% to 29%; summary risk estimate, 7.2%; 95% confidence interval (CI), 4.8% to 9.6%). Temporary removal of the prosthesis and TEP‐site injections were the most commonly reported conservative treatments. Prosthetic diameter (p = .076) and timing of TEP (p = .297) were analyzed as risk factors; however, radiotherapy variables were inconsistently reported. Conclusion The overall risk of enlarged puncture seems relatively low, but it remains a rehabilitative challenge. Future research should clearly establish risk factors for enlarged puncture and optimal conservative management. © 2010 Wiley Periodicals, Inc. Head Neck, 2011 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Head & Neck: Journal for the Sciences & Specialties of the Head and Neck Wiley

Enlarged tracheoesophageal puncture after total laryngectomy: A systematic review and meta‐analysis

Loading next page...
 
/lp/wiley/enlarged-tracheoesophageal-puncture-after-total-laryngectomy-a-NbcCbnkrb7

References (39)

Publisher
Wiley
Copyright
Copyright © 2010 Wiley Periodicals, Inc.
ISSN
1043-3074
eISSN
1097-0347
DOI
10.1002/hed.21399
pmid
20848420
Publisher site
See Article on Publisher Site

Abstract

Background Enlargement of the tracheoesophageal puncture (TEP) is a challenging complication after laryngectomy with TEP. We sought to estimate the rate of enlarged puncture, associated pneumonia rates, potential risk factors, and conservative treatments excluding complete surgical TEP closure. Methods A systematic review was conducted (1978–2008). A summary risk estimate was calculated using a random‐effects meta‐analysis model. Results Twenty‐seven peer‐reviewed manuscripts were included. The rate of enlarged puncture and/or leakage around the prosthesis was reported in 23 articles (range, 1% to 29%; summary risk estimate, 7.2%; 95% confidence interval (CI), 4.8% to 9.6%). Temporary removal of the prosthesis and TEP‐site injections were the most commonly reported conservative treatments. Prosthetic diameter (p = .076) and timing of TEP (p = .297) were analyzed as risk factors; however, radiotherapy variables were inconsistently reported. Conclusion The overall risk of enlarged puncture seems relatively low, but it remains a rehabilitative challenge. Future research should clearly establish risk factors for enlarged puncture and optimal conservative management. © 2010 Wiley Periodicals, Inc. Head Neck, 2011

Journal

Head & Neck: Journal for the Sciences & Specialties of the Head and NeckWiley

Published: Jan 1, 2011

There are no references for this article.