Abstract

appropriate. We also used this approach in individuals on longterm chemotherapy.The procedure was accepted with mixed emotions. No major bleeding or infectious problems were encountered while placing the puncture from within the pharynx. But we did not have high longterm acceptance by either the patient or the staff. Of note, saliva or salivary leakage were of particular concern. The authors have demonstrated a nice, minimally invasive concept for these patients and their problems. We do wonder if their usage of the left side of the neck may lend itself to less patient dissatisfaction and fewer complications.

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