Document Detail


Pharyngocutaneous fistula and total laryngectomy: possible predisposing factors, with emphasis on pharyngeal myotomy.
MedLine Citation:
PMID:  11127147     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ninety-two total laryngectomy cases were investigated with reference to post-laryngectomy fistula formation. Fistula was observed in eight cases (8.69 per cent). There were no statistically significant differences between the fistula group and the non-fistula group with regard to pre-operative tracheotomy, tumour differentiation, positive surgical margins, concurrent neck dissection, previous radiotherapy, T stage of the tumour, presence of extended hypopharyngeal mucosal excision, and placement of nasogastric tube. The only statistically significant positive association was found with primary pharyngeal myotomy. Myotomy was performed in six of the fistula patients and in two cases a technical error was observed. In these cases myotomy was performed adjacent to the edge of hypopharyngeal mucosa resulting in a weakened area of pharyngeal closure, possibly contributing to the fistula. This should be kept in mind and avoided at all costs during the performance of myotomy. Since it was not possible to find out any specific causal relationship with myotomy in four other cases, further studies are needed to establish the association of myotomy with pharyngocutaneous fistula.
Authors:
A O Ikiz; M Uça; E A Güneri; T K Erdağ; S Sütay
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  114     ISSN:  0022-2151     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2000-12-13     Completed Date:  2001-02-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  768-71     Citation Subset:  AIM; IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Dokuz Eylül University Faculty of Medicine, Izmir, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Cutaneous Fistula / etiology*
Female
Fistula / etiology*
Humans
Laryngeal Neoplasms / surgery*
Laryngectomy / methods*
Male
Middle Aged
Pharyngeal Diseases / etiology*
Postoperative Complications / etiology*
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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