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

• Published in: Auris, nasus, larynx Vol. 49; no. 4; pp. 658 - 662
• Main Authors: Hanai, Nobuhiro, Beppu, Shintaro, Nishikawa, Daisuke, Terada, Hoshino, Sawabe, Michi
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01-08-2022
• Subjects: Humans; Laryngectomy; Larynx, Artificial; Prosthesis Design; Prosthesis Implantation - methods; Punctures; Total laryngectomy; Tracheoesophageal puncture; Voice prosthesis; Voice restoration; Voice prosthesis; Total laryngectomy; Voice restoration; Tracheoesophageal puncture
• ISSN: 0385-8146; 1879-1476
• DOI: 10.1016/j.anl.2021.11.006

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.
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® VegaTM Puncture Set as it is used for the placement of the voice prosthesis.
We were able to place the PROVOX® VegaTM 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.
This new method using the PROVOX® VegaTM Puncture Set, which is designed for the original purpose of voice prosthesis implantation, was therefore found to be safe and effective.