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Background: We evaluated the impact of radiation, reconstruction, and timing of tracheoesophageal puncture (TEP) on complications and speech outcomes.
Methods: Retrospective review identified 145 patients who underwent TEP between 2003 and 2007.
Results: Ninety-nine patients (68%) had primary and 46 (32%) had secondary TEP, with complications occurring in 65% and 61%, respectively (p = .96). Twenty-nine patients (20%) had major complications (18 primary and 11 secondary; p = .42). Ninety-four patients (65%) had pre-TEP radiation, 39 (27%) post-TEP radiation, and 12 (8%) no radiation. With patients grouped by TEP timing and radiation history, there was no difference in complications, fluency, or TEP use. With mean 4.7-year follow-up, 82% primary and 85% secondary used TEP for primary communication (p = .66). Free-flap patients used TEP more commonly for primary communication after secondary versus primary TEP (90% vs 50%; p = .02).
Conclusion: Primary and secondary tracheoesophageal speakers experience similar high rates of complications. Extent of pharyngeal reconstruction, rather than radiation, may be more important in selection of TEP timing. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1765-1771, 2016.
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http://dx.doi.org/10.1002/hed.24529 | DOI Listing |
Surg Case Rep
September 2025
Department of Surgery, Kyushu University Beppu Hospital, Beppu, Oita, Japan.
Introduction: Glycogen storage disease type IX (GSD type IX) is caused by a deficiency in phosphorylase b kinase (PHK) and is classified into hepatic (IXa-c) and muscular (IXd) subtypes. GSD type IXd leads to exercise intolerance, rhabdomyolysis, and myoglobinuria owing to impaired glycogen breakdown. It is a rare and mild metabolic disorder, with only 19 reported cases of mutations.
View Article and Find Full Text PDFJSLS
September 2025
Department of General Surgery, University of Health Sciences Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey. (Drs. Agca, Tasdelen, and Memisoglu).
Objective: In this study, we aimed to investigate the effectiveness of preperitoneal closed suction drainage in reducing postoperative complications in total extraperitoneal (TEP) repair inguinal hernia repair.
Methods: Between May 2021 and February 2023, 125 patients aged 18-80 years who were admitted to our hospital with primary unilateral (PM2, PM3 and PL2, PL3) inguinal hernia were included in preperitoneal drainage (group 1, n = 45) and no drainage groups (group 2, n = 80). Hematoma and seroma size, early postoperative bleeding, postoperative hospital stay, pain score and recurrence were recorded on the 6th day and 3rd month after surgery.
Water Res
September 2025
College of Environment, Zhejiang University of Technology, Hangzhou 310014, China; Xinjiang Institute of Ecology and Geography, Chinese Academy of Sciences, Urumqi 830011, China. Electronic address:
Waterborne pathogens related diseases have been a global health concern. Precise source tracking of pathogens in rivers is crucial for understanding and reducing waterborne pathogens transmission risks. Current microbial source tracking techniques are still limited by identifying pathogen indicators at low concentrations, particularly in highly dynamic confluence zones of rivers where the coalescence of microbiomes exacerbates community disturbances.
View Article and Find Full Text PDFJ Neural Eng
September 2025
Laboratoire de Psychologie et NeuroCognition, Bâtiment Michel Dubois, 1251 Av. Centrale, 38041 Grenoble Cedex 09, Grenoble, Auvergne-Rhône-Alpes, 38040, FRANCE.
Objective: Transcranial magnetic stimulation (TMS) combined with electroencephalography (EEG) has become a valuable tool in clinical and cognitive neuroscience. However, TMS-EEG signals often suffer from severe artifacts, particularly in lateral cortical regions where TMS-evoked muscle arti-facts are pronounced, making real-time recovery of TMS-evoked potentials (TEPs) challenging. We developed and validated a real-time, two-step independent component analysis (ICA)-based artifact cleaning method for TMS-EEG signals, facilitating the rapid extraction of clean neural signals for closed-loop neurostimulation applications.
View Article and Find Full Text PDFWaste Manag
September 2025
Department of Civil Engineering, The University of Hong Kong, Hong Kong, Hong Kong Special Administrative Region of China. Electronic address:
The rapid expansion of electric vehicle (EV) industries has significantly increased global lithium-ion battery (LIB) production and consumption. Addressing resource scarcity and environmental concerns necessitates efficient battery recycling, where cathode material stripping from aluminum (Al) foil constitutes a critical preprocessing step. Although various techniques-including deep eutectic solvents, advanced oxidation processes, and molten salt systems-demonstrate stripping capability, their practical application is constrained by demanding operational conditions, excessive chemical costs, and procedural complexity.
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