Pharyngocutaneous fistulas after total laryngectomy or pharyngolaryngectomy: Place of video-fluoroscopic swallowing study.
pharyngocutaneous fistula
pharyngolarynx
radiation
squamous cell carcinoma
video-fluoroscopic swallowing study
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
03
12
2019
revised:
18
06
2020
accepted:
03
08
2020
pubmed:
31
8
2020
medline:
22
6
2021
entrez:
1
9
2020
Statut:
ppublish
Résumé
Specify place of video-fluoroscopic swallowing study (VFS) in the decision of oral refeeding after total pharyngolaryngectomy. At postoperative day 7, a blue dye testing was performed. If negative, a VFS was performed looking for a blind fistula. If this exam was negative, oral refeeding was started, but if a blind fistula was observed, cervical compression bandage was performed. In 186 patients, a VFS was performed for 142 patients with negative blue dye testing. It was negative for 98 patients (69%) and positive for 44 patients (31%) (blind fistula). Patients had a probability of 7.1% to have a secondary pharyngocutaneous fistula (PCF) if the VFS was negative, and 15.9% if it was positive. No risk factor for the development of a secondary PCF or a blind fistula emerged from our analysis. VFS should be performed before any oral refeeding in all patients operated with a total pharyngolaryngectomy.
Sections du résumé
BACKGROUND
Specify place of video-fluoroscopic swallowing study (VFS) in the decision of oral refeeding after total pharyngolaryngectomy.
METHODS
At postoperative day 7, a blue dye testing was performed. If negative, a VFS was performed looking for a blind fistula. If this exam was negative, oral refeeding was started, but if a blind fistula was observed, cervical compression bandage was performed.
RESULTS
In 186 patients, a VFS was performed for 142 patients with negative blue dye testing. It was negative for 98 patients (69%) and positive for 44 patients (31%) (blind fistula). Patients had a probability of 7.1% to have a secondary pharyngocutaneous fistula (PCF) if the VFS was negative, and 15.9% if it was positive. No risk factor for the development of a secondary PCF or a blind fistula emerged from our analysis.
CONCLUSION
VFS should be performed before any oral refeeding in all patients operated with a total pharyngolaryngectomy.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3638-3646Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
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