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Novel techniques for prevention of post-operative pharyngocutaneous fistula in locally advanced laryngeal and hypopharyngeal cancers

Published online by Cambridge University Press:  08 September 2023

Dheeraj V Lambor ,
Radhika Ranganath Shetgaunkar Open the ORCID record for Radhika Ranganath Shetgaunkar [Opens in a new window] ,
Swati Lambor Open the ORCID record for Swati Lambor [Opens in a new window] ,
Carnegie De Sa  and
Rashmi Vijaykumar
Dheeraj V Lambor
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Goa Medical College and Hospital, Bambolim, Goa, India
Radhika Ranganath Shetgaunkar*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Goa Medical College and Hospital, Bambolim, Goa, India
Swati Lambor
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Goa Medical College and Hospital, Bambolim, Goa, India
Carnegie De Sa
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Goa Medical College and Hospital, Bambolim, Goa, India
Rashmi Vijaykumar
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Goa Medical College and Hospital, Bambolim, Goa, India
*
Corresponding author: Radhika Ranganath Shetgaunkar; Email: radhikashetgaunkar@gmail.com
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Abstract

Background

Pharyngocutaneous fistula is one of the most common complications following total laryngectomy. It increases hospital stay and the financial burden on patients, and prolongs nasogastric feeding. This paper presents novel techniques for prevention of pharyngocutaneous fistula.

Method

A retrospective study was conducted at a tertiary referral centre to assess the effectiveness of continuous extramucosal pharyngeal suturing and the hydrogen peroxide leak test in prevention of pharyngocutaneous fistula in 59 patients who had undergone total laryngectomy with or without partial pharyngectomy for locally advanced cancers of the larynx and hypopharynx.

Results

The incidence of pharyngocutaneous fistula in our study was 6.8 per cent, which is considerably lower than the incidence reported in various previous studies.

Conclusion

The continuous extramucosal suturing technique provides watertight closure of the neopharynx and can be recommended as a reliable method for neopharyngeal closure post total laryngectomy to reduce the occurrence of pharyngocutaneous fistula.

Keywords

Chemoradiotherapyswallowingdysphagia
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 3 , March 2024 , pp. 345 - 348
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

*

Equal first authors

Radhika Ranganath Shetgaunkar takes responsibility for the integrity of the content of the paper

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