Objectives: To demonstrate the technique of tracheoesophageal puncture (TEP) which can be completed safely in an office setting when patients are not able to undergo general anesthesia due to medical comorbities or have previously had an unsuccessful attempt at TEP in the operating room due to anatomic reasons. Methods: Retrospective review from 2007-2011. 13 outpatient adults with a history of total laryngectomy presenting to the Laryngology clinic for TEP after either failing prior placement in the operating room or not being able to undergo general anesthesia due to medical comorbities were identified. In office TNE-guided TEP was performed on these thirteen patients Results: All subjects underwent successful TNEguided TEP. Complications included one possible false passage with mild cellulitis. Conclusions: Patients who could not undergo TEP placement in the operating were able to successfully undergo the procedure in an office setting with good results.
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