×
Please select City And Area.
Best Doctor List Near You for Tracheo-oesophageal Puncture in Sar e pol capital and largest city
Best psoriasis doctors near me

A tracheo-oesophageal puncture (TEP) is a surgical procedure primarily utilized in the management of patients with laryngeal cancer who have undergone a total laryngectomy, which involves the removal of the larynx (voice box) and surrounding structures. This surgical technique aims to enable voice rehabilitation by creating a direct communication pathway between the trachea and the esophagus. During the procedure, a small puncture is made in the anterior wall of the trachea, and a small fenestrated valve or prosthesis is inserted into this puncture. This allows for a controlled airflow from the trachea into the esophagus when the patient occludes the stoma, typically with a finger, transforming respiratory airflow into phonation. The patient can then produce sound by forcing air from the trachea through the esophagus, where it vibrates the esophageal walls, allowing them to produce sounds akin to voice. The TEP procedure has evolved significantly, incorporating advancements that enhance the effectiveness and comfort of voice production. The procedure can be performed under local anesthesia with sedation and is often carried out in an outpatient setting. The patient's ability to speak following TEP significantly depends on their overall health, the length of time since their laryngectomy, and their commitment to speech therapy. Following the insertion of the prosthesis, patients typically undergo voice rehabilitation to maximize their ability to produce intelligible speech. The rehabilitation process involves working closely with a speech-language pathologist to learn how to properly utilize the device. Many patients report that they achieve satisfactory voice quality and can engage in meaningful communication post-procedure, significantly improving their quality of life and psychological well-being. Complications, although rare, can include prosthesis dislodgement, leakage of air or food around the puncture site, and the potential for esophageal or tracheal damage if proper care is not taken. Regular follow-ups and appropriate care of the puncture site and prosthesis are crucial for the success of TEP and for maintaining voice quality. In addition to these medical considerations, the social implications of TEP are profound, as regaining the ability to communicate effectively can enhance personal relationships and allow patients to return to social, professional, and everyday activities that had been compromised due to their condition. Moreover, it's essential for patients and caregivers to receive education about the management of the TEP site and associated devices, fostering independence and confidence in self-care. Overall, TEP stands as a testament to the advancements in surgical techniques and rehabilitation strategies, providing patients with a viable option to restore a sense of normalcy in their communication abilities after significant surgical interventions for head and neck cancers.
- Cardiothoracic Surgeon in Sar e pol capital and largest city
- Brachytherapy Specialist in Sar e pol capital and largest city
- Mohs Surgery in Sar e pol capital and largest city
- Fungal Infections (Mycology) in Sar e pol capital and largest city
- Remote Medical Care Expert in Sar e pol capital and largest city
- Dxa (Dual-Energy X-Ray Absorptiometry) Specialist in Sar e pol capital and largest city
- Breast Reconstruction Surgery Specialist in Sar e pol capital and largest city
- Sleep Medicine Psychiatry in Sar e pol capital and largest city
- Acute Trauma Care Specialist in Sar e pol capital and largest city
- Spinal Deformity Specialist in Sar e pol capital and largest city
- Cancer Surgery Specialist in Sar e pol capital and largest city
- Liver Transplant Surgery in Sar e pol capital and largest city
- Critical Burn Care Specialist in Sar e pol capital and largest city
- Osteopathic Manipulative Treatment (OMT) Specialist in Sar e pol capital and largest city
- Endodontic Microsurgery Specialist in Sar e pol capital and largest city
- Thoracic Oncologist in Sar e pol capital and largest city
- Pediatric Endocrinology in Sar e pol capital and largest city
- Acute Resuscitation Specialist in Sar e pol capital and largest city
- Diagnostic Radiologist in Sar e pol capital and largest city
- Oncologic Molecular Pathologist in Sar e pol capital and largest city
- Rheumatologist in Sar e pol capital and largest city
- Dermatomyositis in Sar e pol capital and largest city
- Transoral Incisionless Fundoplication in Sar e pol capital and largest city
- Medical Abortion in Sar e pol capital and largest city
- Existential Therapy in Sar e pol capital and largest city
- Duodenal Switch in Sar e pol capital and largest city
- Omentopexy in Sar e pol capital and largest city
- Latham Appliance in Sar e pol capital and largest city
- B-Raf Inhibitors in Sar e pol capital and largest city
- Drug Eluting Coronary Stenting in Sar e pol capital and largest city
- Laparoscopic Cyst Ablation in Sar e pol capital and largest city
- Lobectomy in Sar e pol capital and largest city
- Telepsychology in Sar e pol capital and largest city
- Microvascular Surgery in Sar e pol capital and largest city
- Percutaneous Coronary Intervention (PCI) in Sar e pol capital and largest city
- Neuro Carotid Endarterectomy Surgery in Sar e pol capital and largest city
- Brachial Plexus Nerve Transfer Surgery in Sar e pol capital and largest city
- Experimental Cancer Treatments in Sar e pol capital and largest city
- Vasoepididymostomy in Sar e pol capital and largest city
- Tissue Transplantation in Sar e pol capital and largest city
- Penis Reduction in Sar e pol capital and largest city
- Open Reduction And Internal Fixation in Sar e pol capital and largest city
- Complications Management in Sar e pol capital and largest city
- Psychology Support Groups in Sar e pol capital and largest city
- Actigraphy in Sar e pol capital and largest city
- Myelography in Sar e pol capital and largest city
- Family Planning and Preconception Counseling in Sar e pol capital and largest city
- Molecular Pathology Services in Sar e pol capital and largest city
- Podiatrists Services in Sar e pol capital and largest city
- Histopathology Services in Sar e pol capital and largest city
- Neurological PET Scan in Sar e pol capital and largest city
- Pre-Travel Consultation and Risk Assessment in Sar e pol capital and largest city
- Preoperative and Postoperative Guidance in Sar e pol capital and largest city
- Facial Reconstruction in Sar e pol capital and largest city
- Ultrasound of the Abdomen in Sar e pol capital and largest city
- Cholesterol Management in Sar e pol capital and largest city
- Bereavement Services in Sar e pol capital and largest city
- Hand Surgery Services in Sar e pol capital and largest city
- Diagnosis and Management of Arthritis in Sar e pol capital and largest city
- Sleep Hygiene Education in Sar e pol capital and largest city
- Pediatric Education and Support for Families in Sar e pol capital and largest city
- Surgical Oncology Services in Sar e pol capital and largest city
- Anesthesia and Pain Management in Sar e pol capital and largest city
- Acoustic Neuroma in Sar e pol capital and largest city
- Covid-19 in Sar e pol capital and largest city
- Earache in Sar e pol capital and largest city
- Fluid From The Ear in Sar e pol capital and largest city
- Covid in Sar e pol capital and largest city
- Labyrinthitis in Sar e pol capital and largest city
- Swimmer's Ear in Sar e pol capital and largest city
- Malaria in Sar e pol capital and largest city
- Eye Irritation in Sar e pol capital and largest city
- Ear Infection in Sar e pol capital and largest city
- Glue Ear in Sar e pol capital and largest city
- Lung Cancer in Sar e pol capital and largest city
- Otitis Media in Sar e pol capital and largest city
- Tinnitus in Sar e pol capital and largest city
- Allergies in Sar e pol capital and largest city
- Deafness in Sar e pol capital and largest city
- Ear Wax in Sar e pol capital and largest city
- Depression in Sar e pol capital and largest city
- Hearing Loss in Sar e pol capital and largest city
- Otosclerosis in Sar e pol capital and largest city
- Vertigo in Sar e pol capital and largest city
- Otalgia in Sar e pol capital and largest city
- Unsteady Gait in Sar e pol capital and largest city
- Bringing Up Milk in Sar e pol capital and largest city
- Stereognosis in Sar e pol capital and largest city
- Lump On Eyelid in Sar e pol capital and largest city
- A Sore Throat in Sar e pol capital and largest city
- Breast Abcess in Sar e pol capital and largest city
- Excessive Thirst in Sar e pol capital and largest city
- Eye Pain in Sar e pol capital and largest city
- Lumps That Grow Under Skin in Sar e pol capital and largest city
- Constipation in Sar e pol capital and largest city
- Hearing Changes in Sar e pol capital and largest city
- High Sex Drive in Sar e pol capital and largest city
- Yellow Eyes in Sar e pol capital and largest city
- Deformity in Sar e pol capital and largest city
- Weight Gain in Sar e pol capital and largest city
- Infertility in Sar e pol capital and largest city
- Oral Allergy in Sar e pol capital and largest city
- Feeling Frightened (Anxiety) in Sar e pol capital and largest city
- Hyperhidrosis (Excessive Sweating) in Sar e pol capital and largest city
- Swollen Glands in Sar e pol capital and largest city