Repair of pharyngocutaneous fistula after total laryngectomy: A novel endoscopic approach

被引：9
|
作者：
Fink, Daniel S. [1 ,2 ]
Pena, Sarah [1 ]
Hanby, Duncan [1 ]
Kunduk, Melda [1 ,2 ,3 ]
McWhorter, Andrew J. [1 ,2 ]
机构：
[1] Our Lady Lake Voice Ctr, Baton Rouge, LA USA
[2] Louisiana State Univ, Hlth Sci Ctr, Dept Otolaryngol Head & Neck Surg, Baton Rouge, LA 70810 USA
[3] Louisiana State Univ, Dept Commun Sci & Disorders, Baton Rouge, LA 70803 USA
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2015年 / 37卷 / 07期
关键词：
pharyngocutaneous; fistula; endoscopic; laryngectomy; reconstruction; COMPLICATIONS; RECONSTRUCTION; PREVENTION; SURGERY; FLAP;
D O I：
10.1002/hed.23911
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
BackgroundPharyngocutaneous fistula (PCF) is a common and challenging complication of laryngectomy. The purpose of this study was to evaluate the results of endoscopic repair of postlaryngectomy PCF. MethodsFive patients who underwent salvage laryngectomy complicated by PCF underwent endoscopic repair at a regional medical center between 2006 and 2013. Data were compiled through a manual chart review and demographic data, adjuvant treatment, comorbidities, and clinical course were all recorded. ResultsFive patients underwent endoscopic repair of PCF. All patients had previously received radiation or chemoradiation therapy and underwent salvage total laryngectomy. The mean number of days to resumption of oral intake after endoscopic repair was 22 days. One patient required reoperation. No complications were noted. ConclusionEndoscopic suture repair can be an effective method for treating PCF with less morbidity than flap reconstruction or conservative wound management. (c) 2014 Wiley Periodicals, Inc. Head Neck37: E81-E84, 2015
引用
收藏
页码：E81 / E84
页数：4
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