Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap.
Bypass salivary tube
Fechamento da faringe
Fístula faringocutânea
Laringectomia total
Pectoralis major flap
Pharyngocutaneous fistula
Pharynx closure
Retalho do músculo peitoral maior
Total laryngectomy
Tubo de derivação salivar
Journal
Brazilian journal of otorhinolaryngology
ISSN: 1808-8686
Titre abrégé: Braz J Otorhinolaryngol
Pays: Brazil
ID NLM: 101207337
Informations de publication
Date de publication:
Historique:
received:
08
08
2017
revised:
21
01
2018
accepted:
01
03
2018
pubmed:
14
4
2018
medline:
10
7
2019
entrez:
14
4
2018
Statut:
ppublish
Résumé
The pectoralis major flap is a reconstructive option to consider in the treatment of pharyngocutaneous fistula after a total laryngectomy. There are not large studies assessing variables related to pharyngocutaneous fistula recurrence after removal of the larynx. Our objectives were to review the results obtained with this type of treatment when pharyngocutaneous fistula appears in laryngectomized patients, and to evaluate variables related to the results. We retrospectively reviewed our results using either a myocutaneous or fasciomuscular pectoralis major flap to repair pharyngocutaneous fistula in 50 patients. There were no cases of flap necrosis. Oral intake after fistula repair with a pectoralis major flap was restored in 94% of cases. Fistula recurrence occurred in 22 cases (44%), and it was associated with a lengthening of the hospital stay. Performing the flap as an emergency procedure was associated with a significantly higher risk of fistula recurrence. Hospital stay was significantly shorter when a salivary tube was placed. The pectoralis major flap is a useful approach to repair pharyngocutaneous fistula. Placing salivary tubes during fistula repair significantly reduces hospital stay and complication severity in case of pharyngocutaneous fistula recurrence.
Identifiants
pubmed: 29650373
pii: S1808-8694(18)30089-2
doi: 10.1016/j.bjorl.2018.03.002
pmc: PMC9442886
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
351-356Informations de copyright
Copyright © 2018 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.
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