Your browser doesn't support javascript.
loading
Institutional experience with total pharyngectomy reconstruction: Exploring the role of the salivary bypass tube.
Smith, Sullivan; Lee, Yunmin; Borrowdale, Richard; Thorpe, Eric; Pittman, Amy.
Afiliación
  • Smith S; Department of Otolaryngology, Loyola University Medical Center, Maywood, Illinois, USA.
  • Lee Y; Loyola University Stritch School of Medicine, Maywood, Illinois, USA.
  • Borrowdale R; Department of Otolaryngology, Loyola University Medical Center, Maywood, Illinois, USA.
  • Thorpe E; Department of Otolaryngology, Loyola University Medical Center, Maywood, Illinois, USA.
  • Pittman A; Department of Otolaryngology, Loyola University Medical Center, Maywood, Illinois, USA.
Head Neck ; 46(4): 721-727, 2024 04.
Article en En | MEDLINE | ID: mdl-38165002
ABSTRACT

BACKGROUND:

There is a lack of consensus regarding the effectiveness of salivary bypass tubes during total pharyngectomy reconstruction to prevent pharyngocutaneous fistula or pharyngoesophageal stricture.

METHODS:

Our study examined tubed free flap reconstruction outcomes for total pharyngectomy defects over 11 years at a single tertiary referral center. We compared postoperative fistula and stricture rates between two groups those with salivary bypass tubes inserted during reconstruction and those without.

RESULTS:

Among 36 patients, 26 had radial forearm, and 10 had anterolateral thigh free flap reconstruction. 53% received salivary bypass tubes. However, the tubes did not significantly reduce the relative risks of fistula or stricture. Notably, neck dissection during total pharyngectomy was associated with increased fistula incidence. Minor salivary bypass tube-related complications affected 21% of subjects.

CONCLUSION:

The role of salivary bypass tubes in total pharyngectomy reconstruction remains uncertain.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fístula Cutánea / Procedimientos de Cirugía Plástica / Colgajos Tisulares Libres Límite: Humans Idioma: En Revista: Head Neck Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fístula Cutánea / Procedimientos de Cirugía Plástica / Colgajos Tisulares Libres Límite: Humans Idioma: En Revista: Head Neck Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos