Pharyngocutaneous Fistula after Total Laryngectomy: Incidence, Cause, and Treatment

1994 ◽  
Vol 103 (10) ◽  
pp. 801-805 ◽  
Author(s):  
George Papazoglou ◽  
George Terzakis ◽  
George Doundoulakis ◽  
George Dokianakis
Keyword(s):  
Total Laryngectomy ◽  
Major Complication ◽  
Predisposing Factors ◽  
Morbidity And Mortality ◽  
Red Cross ◽  
Pharyngocutaneous Fistula ◽  
Common Complication ◽  
Methods Of Treatment

Postoperative pharyngocutaneous fistula is a major complication of total laryngectomy that prolongs the short hospitalization of 2 to 3 weeks to many weeks or even months. It is a common complication that increases the morbidity and mortality of the procedure. In the Department of Otolaryngology of the Red Cross Hospital of Athens, 310 patients underwent total laryngectomy from January 1980 through December 1989. Twenty-eight patients developed a fistula (incidence 9%). The incidence, predisposing factors, and methods of treatment of this complication are analyzed and discussed.

Incidence, Predisposing Factors and Outcome of Pharyngocutaneous Fistulas Complicating Head and Neck Cancer Surgery

1975 ◽  
Vol 84 (6) ◽  
pp. 833-840 ◽  
Author(s):  
Douglas D. Dedo ◽  
William A. Alonso ◽  
Joseph H. Ogura
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Surgical Procedures ◽  
Major Complication ◽  
Cancer Surgery ◽  
Predisposing Factors ◽  
Pharyngocutaneous Fistula ◽  
Extensive Resection ◽  
Methods Of Treatment

A major complication of head and neck cancer surgery following radiation and extensive resection is pharyngocutaneous fistula. A retrospective analysis of 36 fistula patients out of 376 major head and neck procedures between January 1971 and July 1973 revealed certain guidelines for improved clinical management. Since a large discrepancy existed in the incidence of fistulas between the different surgical procedures, each operative group was examined separately. The incidence, predisposing factors, and methods of treatment for this complication following composite jaw-neck resections and various laryngeal procedures are analyzed and discussed.

Postlaryngectomy Pharyngocutaneous Fistula: Incidence, Predisposing Factors, and Therapy

2005 ◽  
Vol 133 (5) ◽  
pp. 689-694 ◽  
Author(s):  
Jacopo Galli ◽  
Eugenio De Corso ◽  
Mariangela Volante ◽  
Giovanni Almadori ◽  
Gaetano Paludetti
Keyword(s):  
Risk Factor ◽  
Total Laryngectomy ◽  
Radical Neck Dissection ◽  
Predisposing Factors ◽  
Spontaneous Closure ◽  
Pharyngocutaneous Fistula ◽  
Systemic Diseases ◽  
Surgical Closure ◽  
Number Of Factors ◽  
Wait And See

OBJECTIVE: The pharyngocutaneous fistula (PCF) is a serious complication after total laryngectomy, and its etiology is not well understood yet. The aim of our study was to evaluate predisposing factors, incidence, and management of this complication. STUDY DESIGN AND SETTING: This was a retrospective study of 268 patients who underwent total laryngectomy in our clinic (January 1990-December 2001). A number of factors potentially predisposing to PCF formation were evaluated. RESULTS: A PCF was observed in 16% of patients. Systemic diseases, previous radiotherapy, supraglottic origin of tumor, and concurrent radical neck dissection were significantly associated with PCF. Spontaneous closure was noted in 28 patients, whereas a surgical closure was necessary in 15 patients. CONCLUSIONS: In presence of a specific risk factor, PCF can be expected; nevertheless, its prevention remains very difficult. Moreover, given the high percentage of spontaneous closure, we suggest the “wait and see” approach for 28 days before proceeding with a surgical approach.

scholarly journals Frequency and predisposing factors of pharyngocutaneous fistula after total laryngectomy

2013 ◽  
Vol 14 (2) ◽  
pp. 103-106
Author(s):  
Asif Ali Arain ◽  
Mubasher Ikram ◽  
Shabbir Akhtar ◽  
Muhammad Shaheryar Ahmed Rajput ◽  
Mohammad Adeel ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Predisposing Factors ◽  
Pharyngocutaneous Fistula

Incidence and predisposing factors of pharyngocutaneous fistula formation after total laryngectomy. Is there a relationship with tumor recurrence?

2004 ◽  
Vol 261 (2) ◽  
pp. 61-67 ◽  
Author(s):  
Konstantinos D. Markou ◽  
Konstantinos C. Vlachtsis ◽  
Angelos C. Nikolaou ◽  
Dimitrios G. Petridis ◽  
Athanasios I. Kouloulas ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Tumor Recurrence ◽  
Predisposing Factors ◽  
Fistula Formation ◽  
Pharyngocutaneous Fistula

Early oral hydration protects against pharyngocutaneous fistula after total laryngectomy or total pharyngolaryngectomy

Head & Neck ◽  
2020 ◽  
Vol 42 (8) ◽  
pp. 1902-1906 ◽  
Author(s):  
Matthieu Le Flem ◽  
Laure Santini ◽  
Carole Boulze ◽  
Abdallah Alshukry ◽  
Antoine Giovanni ◽  
...  
Keyword(s):  
Total Laryngectomy ◽  
Pharyngocutaneous Fistula ◽  
Oral Hydration ◽  
Total Pharyngolaryngectomy

Utility of the Montgomery salivary tubes for preventing pharyngocutaneous fistula in total laryngectomy

2020 ◽  
Vol 41 (4) ◽  
pp. 102557
Author(s):  
Pablo Torrico Román ◽  
Agustín García Nogales ◽  
Gabriel Trinidad Ruíz
Keyword(s):  
Total Laryngectomy ◽  
Pharyngocutaneous Fistula

scholarly journals Atrial Fibrillation in Athletes—Features of Development, Current Approaches to the Treatment, and Prevention of Complications

2019 ◽  
Vol 16 (24) ◽  
pp. 4890
Author(s):  
Evgeny Achkasov ◽  
Sergey Bondarev ◽  
Victor Smirnov ◽  
Zbigniew Waśkiewicz ◽  
Thomas Rosemann ◽  
...  
Keyword(s):  
Physical Activity ◽  
Atrial Fibrillation ◽  
Cardiac Arrhythmias ◽  
Review Article ◽  
Predisposing Factors ◽  
Thromboembolic Complications ◽  
Treatment And Prevention ◽  
Methods Of Treatment

Atrial fibrillation (AF) is one of the most common types of cardiac arrhythmias. This review article highlights the problem of the development of atrial fibrillation in individuals engaged in physical activity and sports. Predisposing factors, causes, and development mechanisms of atrial fibrillation in athletes from the perspective of the authors are described. Methods of treatment, as well as prevention of thromboembolic complications, are discussed. Directions for further studies of this problem and prevention of complications are proposed.

Effect of primary, cross-over, zigzag neopharyngoplasty on acoustic characteristics of alaryngeal, tracheoesophageal voice

2011 ◽  
Vol 125 (8) ◽  
pp. 841-848 ◽  
Author(s):  
O A Albirmawy
Keyword(s):  
Total Laryngectomy ◽  
Dynamic Range ◽  
Speaking Rate ◽  
University Hospital ◽  
Pharyngocutaneous Fistula ◽  
Acoustic Parameters ◽  
Tertiary Referral Centre ◽  
Voice Restoration ◽  
Fundamental Frequencies ◽  
Temporal Measures

AbstractObjective:To evaluate the effect of primary, cross-over, zigzag neopharyngeal construction on tracheoesophageal voice, compared with pharyngoesophageal myotomy, following total laryngectomy with partial pharyngectomy.Study design:Prospective clinical trial.Setting:Otolaryngology department, Tanta University Hospital (tertiary referral centre), Egypt.Patients and methods:Over five years, 30 patients underwent total laryngectomy with partial pharyngectomy to manage stage III or IV laryngeal cancer, followed by primary tracheoesophageal puncture for voice restoration. For neopharyngeal construction, 15 patients underwent pharyngoesophageal myotomy (group one) and 15 cross-over, zigzag neopharyngoplasty (group two). Acoustic parameters of tracheoesophageal voice were compared.Results:Most acoustic parameters were almost equivalent for the two groups, although significant differences were seen for loud intensity, dynamic range, shimmer, loud fundamental frequency, loud jitter, fluency and speaking rate. One post-operative pharyngocutaneous fistula (6.6 per cent) occurred in each group, and resolved with conservative measures.Conclusion:The cross-over neopharyngoplasty modification of hypopharyngeal closure may help avoid pharyngoesophageal spasm and assist maintenance of effective voice amplitude, fundamental frequencies, temporal measures and perceptual values.

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