| Pharyngocutaneous fistula and total laryngectomy: possible predisposing factors, with emphasis on pharyngeal myotomy. | |
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MedLine Citation:
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PMID: 11127147 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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A O Ikiz; M Uça; E A Güneri; T K Erdağ; S Sütay |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of laryngology and otology Volume: 114 ISSN: 0022-2151 ISO Abbreviation: J Laryngol Otol Publication Date: 2000 Oct |
Date Detail:
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Created Date: 2000-12-13 Completed Date: 2001-02-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8706896 Medline TA: J Laryngol Otol Country: England |
Other Details:
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Languages: eng Pagination: 768-71 Citation Subset: AIM; IM |
Affiliation:
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Department of Otolaryngology-Head and Neck Surgery, Dokuz Eylül University Faculty of Medicine, Izmir, Turkey. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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