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Novel techniques for prevention of post-operative pharyngocutaneous fistula in locally advanced laryngeal and hypopharyngeal cancers.
Lambor, Dheeraj V; Shetgaunkar, Radhika Ranganath; Lambor, Swati; Sa, Carnegie De; Vijaykumar, Rashmi.
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  • Lambor DV; Department of Otorhinolaryngology and Head and Neck Surgery, Goa Medical College and Hospital, Bambolim, Goa, India.
  • Shetgaunkar RR; Department of Otorhinolaryngology and Head and Neck Surgery, Goa Medical College and Hospital, Bambolim, Goa, India.
  • Lambor S; Department of Otorhinolaryngology and Head and Neck Surgery, Goa Medical College and Hospital, Bambolim, Goa, India.
  • Sa C; Department of Otorhinolaryngology and Head and Neck Surgery, Goa Medical College and Hospital, Bambolim, Goa, India.
  • Vijaykumar R; Department of Otorhinolaryngology and Head and Neck Surgery, Goa Medical College and Hospital, Bambolim, Goa, India.
J Laryngol Otol ; 138(3): 345-348, 2024 Mar.
Article en En | MEDLINE | ID: mdl-37681549
BACKGROUND: Pharyngocutaneous fistula is one of the most common complications following total laryngectomy. It increases hospital stay and the financial burden on patients, and prolongs nasogastric feeding. This paper presents novel techniques for prevention of pharyngocutaneous fistula. METHOD: A retrospective study was conducted at a tertiary referral centre to assess the effectiveness of continuous extramucosal pharyngeal suturing and the hydrogen peroxide leak test in prevention of pharyngocutaneous fistula in 59 patients who had undergone total laryngectomy with or without partial pharyngectomy for locally advanced cancers of the larynx and hypopharynx. RESULTS: The incidence of pharyngocutaneous fistula in our study was 6.8 per cent, which is considerably lower than the incidence reported in various previous studies. CONCLUSION: The continuous extramucosal suturing technique provides watertight closure of the neopharynx and can be recommended as a reliable method for neopharyngeal closure post total laryngectomy to reduce the occurrence of pharyngocutaneous fistula.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carcinoma de Células Escamosas / Neoplasias Hipofaríngeas / Enfermedades Faríngeas / Neoplasias Laríngeas / Fístula Cutánea / Laringe Límite: Humans Idioma: En Revista: J Laryngol Otol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Carcinoma de Células Escamosas / Neoplasias Hipofaríngeas / Enfermedades Faríngeas / Neoplasias Laríngeas / Fístula Cutánea / Laringe Límite: Humans Idioma: En Revista: J Laryngol Otol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: Reino Unido