A novel procedure of secondary voice prosthesis insertion from the inside out: The modified Fukuhara method

Nobuhiro Hanai; Shintaro Beppu; Daisuke Nishikawa; Hoshino Terada; Daisuke Nishikawa; Michi Sawabe

doi:10.1016/j.anl.2021.11.006

A novel procedure of secondary voice prosthesis insertion from the inside out: The modified Fukuhara method

Auris Nasus Larynx. 2022 Aug;49(4):658-662. doi: 10.1016/j.anl.2021.11.006. Epub 2021 Dec 4.

Authors

Nobuhiro Hanai¹, Shintaro Beppu², Daisuke Nishikawa³, Hoshino Terada², Daisuke Nishikawa², Michi Sawabe²

Affiliations

¹ Department of Head and Neck Surgery, Aichi Cancer Center Hospital, Aichi, Japan. Electronic address: hanai@aichi-cc.jp.
² Department of Head and Neck Surgery, Aichi Cancer Center Hospital, Aichi, Japan.
³ Department of Head and Neck Surgery, Aichi Cancer Center Hospital, Aichi, Japan; Department of Otolaryngology-Head and Neck Surgery, Nara Medical University, Nara, Japan.

PMID: 34876321
DOI: 10.1016/j.anl.2021.11.006

Abstract

Objective: To present a new procedure for inserting a secondary voice prosthesis from the inside to the outside, which improves on the method previously reported by Fukuhara et al.

Methods: A flexible nasopharyngoscope was used to puncture pharynx (or transplanted jejunum) from the inside to the outside. In this method, it was possible to use the PROVOX® Vega^TM Puncture Set as it is used for the placement of the voice prosthesis.

Results: We were able to place the PROVOX® Vega^TM in all cases we experienced. Most of the cases had a history of radiation therapy. The time required for surgery ranged from 11-59 minutes (mean: 29 minutes) and there was no measurable amount of bleeding.

Conclusion: This new method using the PROVOX® Vega^TM Puncture Set, which is designed for the original purpose of voice prosthesis implantation, was therefore found to be safe and effective.

Keywords: Total laryngectomy; Tracheoesophageal puncture; Voice prosthesis; Voice restoration.

MeSH terms

Humans
Laryngectomy
Larynx, Artificial*
Prosthesis Design
Prosthesis Implantation / methods
Punctures