{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:10:21Z","timestamp":1756314621108,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,4,10]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>With the advancements in the medical field, many innovations in medical devices have happened. Using a surgical stapler to close the laryngectomy defect without opening the pharynx is particularly advantageous in a total laryngectomy (TL). However, performing the tracheoesophageal puncture (TEP) during stapler closure of the larynx has not been widely advocated, due to the fear of complications related to the procedure.<\/jats:p>\n               <jats:p>We treated two male patients with advanced glottic malignancy who underwent a TL. To restore their ability to speak, we performed a primary TEP and immediate voice prosthesis placement. After the TEP, we closed the larynx using a stapler. The surgical technique used in this procedure has been thoroughly explained.<\/jats:p>\n               <jats:p>The use of a surgical stapler for pharyngeal closure during a TL has several advantages, particularly with regard to the duration of surgery. The current techniques appear to be promising in reducing TEP-related complications during stapler-assisted laryngeal closure.<\/jats:p>","DOI":"10.1136\/bcr-2023-256563","type":"journal-article","created":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T15:31:23Z","timestamp":1715614283000},"page":"e256563","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Primary tracheoesophageal puncture in stapler-assisted laryngeal closure: a surgical modification"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4750-8111","authenticated-orcid":false,"given":"Jeyashanth","family":"Riju","sequence":"first","affiliation":[{"name":"Head and neck surgery, Christian Medical College and Hospital Vellore, Vellore, Tamilnadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajiv C","family":"Michael","sequence":"additional","affiliation":[{"name":"Head and neck surgery, Christian Medical College and Hospital Vellore, Vellore, Tamilnadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheth Meet","family":"Chetan","sequence":"additional","affiliation":[{"name":"Department of ENT(Laryngology), Christian Medical College and Hospital Vellore, Vellore, Tamilnadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antony","family":"Paulose","sequence":"additional","affiliation":[{"name":"Head and neck surgery, Christian Medical College and Hospital Vellore, Vellore, Tamilnadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,5,13]]},"reference":[{"key":"2025082709474965000_17.5.e256563.1","doi-asserted-by":"crossref","first-page":"2668","DOI":"10.1044\/2021_JSLHR-20-00597","article-title":"Voice rehabilitation by voice prostheses after total laryngectomy: a systematic review and network meta-analysis for 11,918 patients","volume":"64","author":"Tawfik","year":"2021","journal-title":"J Speech Lang Hear Res"},{"key":"2025082709474965000_17.5.e256563.2","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1177\/014556131309200815","article-title":"Comparison of complication rates associated with stapling and traditional suture closure after total laryngectomy for advanced cancer","volume":"92","author":"Miles","year":"2013","journal-title":"Ear Nose Throat J"},{"key":"2025082709474965000_17.5.e256563.3","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1111\/coa.13702","article-title":"Stapler closure versus manual closure in total laryngectomy for laryngeal cancer: a systematic review and meta\u2010analysis","volume":"46","author":"Lee","year":"2021","journal-title":"Clin Otolaryngol"},{"key":"2025082709474965000_17.5.e256563.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-1976-9"},{"key":"2025082709474965000_17.5.e256563.5","doi-asserted-by":"crossref","first-page":"376","DOI":"10.4103\/0019-509X.176728","article-title":"Evaluation of stapled closure following laryngectomy for carcinoma larynx in an Indian tertiary cancer centre","volume":"52","author":"Babu","year":"2015","journal-title":"Indian J Cancer"},{"key":"2025082709474965000_17.5.e256563.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-0945-4"},{"key":"2025082709474965000_17.5.e256563.7","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20280"},{"key":"2025082709474965000_17.5.e256563.8","first-page":"94","article-title":"Stapler suture of the pharynx after total laryngectomy","volume":"34","author":"Dedivitis","year":"2014","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"2025082709474965000_17.5.e256563.9","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414525591"},{"key":"2025082709474965000_17.5.e256563.10","doi-asserted-by":"publisher","DOI":"10.1159\/000278257"},{"key":"2025082709474965000_17.5.e256563.11","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1017\/S0022215116008070","article-title":"Primary tracheoesophageal puncture and cricopharyngeal myotomy in stapler-assisted total laryngectomy","volume":"130","author":"Beswick","year":"2016","journal-title":"J Laryngol Otol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-256563","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:47:59Z","timestamp":1756313279000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-256563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":11,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5,13]]},"published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1136\/bcr-2023-256563"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-256563","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,5]]}}}