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Primary TEP

Primary TEP

Fig.1 Pharyngeal protector is inserted through the pharynx into oesophagus. The bevelled edge faces the posterior tracheal wall anteriorly.
Fig.2 Tracheo-oesophageal puncture done by inserting trocar and cannula through the traceo-oesophageal party wall into pharyngeal protector. Puncture is done 5 mm from tracheo-cutaneous junction.
Fig.3 Trocar is removed. Guide wire is passed through the cannula into pharynx. Valve is held on retainer slit at the tip.
Fig.4 Guide wire is withdrawn and the outer flange of the valve is pulled out into trachea.
Fig.5 Speaking valve in position.

The Heart Of Clinic

Dr. Rayappa

Dr. C. Rayappa MBBS, DLO, FRCS(Edin)

SENIOR CONSULTANT

+91 44 3315 1105

Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)
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For Doctors

Vertical Hemilaryngectomy
Supraglottic Laryngectomy
Laser Cordectomy
Total Laryngectomy + Partial Pharyngectomy + PMMC Flap
Total Laryngectomy (Stapler Technique)
Stomal Recurrence 1
Stomal Recurrence 2
Primary TEP

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For Patients

Oesophageal Speech
Speech with Electrolarynx 01
Speech with Electrolarynx 02
Speech with Voice Prosthesis 01
Speech with Voice Prosthesis 02

Need more information?

Reach us through mail or phone

The Heart Of Clinic

Dr. Rayappa

Dr. C. Rayappa MBBS, DLO, FRCS(Edin)

SENIOR CONSULTANT

+91 44 3315 1105

Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)
Learn More