scholarly journals Enlarged tracheoesophageal puncture after total laryngectomy: A systematic review and meta-analysis

Head & Neck ◽  
2011 ◽  
Vol 33 (1) ◽  
pp. 20-30 ◽  
Author(s):  
Katherine A. Hutcheson ◽  
Jan S. Lewin ◽  
Erich M. Sturgis ◽  
Asha Kapadia ◽  
Jan Risser



Author(s):  
Antonino Maniaci ◽  
Jerome Renee Lechien ◽  
Sebastiano Caruso ◽  
Francesco Nocera ◽  
Salvatore Ferlito ◽  
...  


2020 ◽  
pp. 019459982095796
Author(s):  
Claudia I. Cabrera ◽  
Alexander Joseph Jones ◽  
Noah Philleo Parker ◽  
Amy Emily Lynn Blevins ◽  
Mark S. Weidenbecher

Objective To evaluate the difference in pharygocutaneous fistula (PCF) development between pectoralis major flap onlay and interpositional reconstructions after salvage total laryngectomy (STL). Data Sources Medline, Cochrane, Embase, Web of Science, CINAHL, and ClinicalTrials.gov. Review Methods A systematic review was performed during January 2020. English articles were included that described minor and major PCF rates after STL reconstructed with pectoralis major onlay or interposition. PCFs were classified as major when conservative therapy was unsuccessful and/or revision surgery was needed. Articles describing total laryngopharyngectomies were excluded. Meta-analyses of the resulting data were performed. Results Twenty-four articles met final criteria amassing 1304 patients. Three articles compared onlay with interposition, and 18 compared onlay with primary closure. Pectoralis interposition demonstrated elevated odds ratio (OR) of PCF formation as compared with onlay (OR, 2.34; P < .001). Onlay reconstruction reduced overall (OR, 0.32; P < .001) and major (OR, 0.21; P < .001) PCF development as compared with primary pharyngeal closure alone. Data were insufficient to compare interposition against primary closure. Conclusions This research shows evidence that pectoralis onlay after STL diminishes the odds of total and major PCF development. Pectoralis interposition reconstruction showed elevated odds of PCF formation as compared with pectoralis onlay.



2020 ◽  
Author(s):  
Yi Chan Lee ◽  
Tuan Jen Fang ◽  
I Chun Kuo ◽  
Yao Te Tsai ◽  
Li Jen Hsin


2020 ◽  
Author(s):  
Yi‐Chan Lee ◽  
Tuan‐Jen Fang ◽  
I‐Chun Kuo ◽  
Yao‐Te Tsai ◽  
Li‐Jen Hsin


2017 ◽  
Vol 132 (1) ◽  
pp. 14-21 ◽  
Author(s):  
P D Chakravarty ◽  
A E L McMurran ◽  
A Banigo ◽  
M Shakeel ◽  
K W Ah-See

AbstractBackground:Tracheoesophageal puncture represents the ‘gold standard’ for voice restoration following laryngectomy. Tracheoesophageal puncture can be undertaken primarily during laryngectomy or in a separate secondary procedure. There is no current consensus on which approach is superior. The current evidence comparing primary and secondary tracheoesophageal puncture was assessed.Methods:A systematic review and meta-analysis of articles comparing outcomes for primary and secondary tracheoesophageal puncture after laryngectomy were conducted. Outcome measures were: voice success, overall complication rate and pharyngocutaneous fistula rate.Results:Eleven case series met the inclusion criteria, two prospective and nine retrospective. Meta-analysis did not demonstrate statistically significant differences in overall complication rate or voice outcomes, though it suggested a significantly increased risk of pharyngocutaneous fistula in primary compared to secondary tracheoesophageal puncture.Conclusion:Primary tracheoesophageal puncture is a safe and efficient approach for voice rehabilitation. However, secondary tracheoesophageal puncture should be preferred where there is a higher risk of pharyngocutaneous fistula.



2019 ◽  
Vol 277 (2) ◽  
pp. 585-599 ◽  
Author(s):  
Maohua Wang ◽  
Youfang Xun ◽  
Kaijian Wang ◽  
Ling Lu ◽  
Aimin Yu ◽  
...  


2015 ◽  
Vol 42 (5) ◽  
pp. 353-359 ◽  
Author(s):  
Ji-Wang Liang ◽  
Zhen-Dong Li ◽  
Shu-Chun Li ◽  
Feng-Qin Fang ◽  
Yue-Jiao Zhao ◽  
...  




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