Tracheoesophageal Puncture Related Complications | Dr Cesare Piazza | COMPLICON 2024 скачать в хорошем качестве

Tracheoesophageal Puncture Related Complications | Dr Cesare Piazza | COMPLICON 2024

Sri Shankara Cancer Hospital & Research Centre, Bengaluru hosted The International Head & Neck Oncology Conference (COMPLICON) in August 2024. Various guests from all over India and the world were invited to share their expertise and experience on different head and neck cancers. Speaker: Dr. Cesare Piazza Topic: Tracheoesophageal puncture related complications In this video, Dr. Cesare talks about: a. Tracheoesophageal Puncture (TEP) for Voice Rehabilitation: TEP creates a fistula between the trachea and neopharynx, allowing lung-powered voice production via a one-way valve prosthesis, offering superior phonation time and intelligibility compared to esophageal speech or electrolarynx. b. Factors Influencing Primary vs. Secondary TEP: Primary TEP, performed during laryngectomy, is easier and allows early voice, but carries a higher risk if pharyngeal or neck complications arise. Secondary TEP, done later, requires another anesthesia but is often preferred in high-risk patients for potentially lower complication rates. c. Surgical Considerations for Optimal TEP Outcomes: Creating a large, well-positioned stoma, cutting sternal heads of sternocleidomastoid muscles to flatten the stoma, and precise shunt placement are crucial for successful TEP and prosthesis use. d. Common Complications Associated with TEP: Leakage, granulation tissue formation, prosthesis displacement, and crusting are frequent issues, often requiring prosthesis changes, local treatments, or humidification. These complications are more common in irradiated patients and necessitate careful management. e. Management Strategies for TEP Complications: Leakage may necessitate valve replacement or upsizing, while granulation tissue can be managed with bipolar cauterization. Persistent issues may require temporary removal of the prosthesis with esophageal feeding or surgical fistula closure in refractory cases. f. Surgical Closure of the Tracheoesophageal Fistula: In cases of persistent, unresolvable TEP complications, surgical closure using free flaps is a viable but complex option. Prevention through meticulous patient selection, surgical technique, and complication management is always preferred over fistula closure. About the Event: This talk was part of the International Head & Neck Oncology Conference held on 23–24 August 2024 at Sri Shankara Cancer Hospital & Research Centre, a leading institute for cancer care and research in India. To stay updated on the latest cancer surgery techniques, expert lectures, and case discussions, please watch the full sessions in the playlist: Head & Neck COMPLICON 2 – Day 1    • Head & Neck COMPLICON 2024: Part 1 - DAY 1   About Sri Shankara Cancer Hospital: Located in the heart of Bengaluru, our hospital is recognized for its patient-first approach, top-quality medical infrastructure, and a team of dedicated oncologists working to provide the best possible cancer care for all. Like, share, and subscribe for more updates from our hospital—expert talks, inspiring patient stories, surgical advancements, and healthcare events. #MedicalOncologyConference #HeadAndNeckCancer #TEPComplications #VoiceProsthesis #LaryngectomyRehabilitation #COMPLICON #SriShankaraCancerHospital #TracheoesophagealPuncture #VoiceRehabilitation #PostLaryngectomyCare #DrCesarePiazza