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Post-laryngectomy pharyngocutaneous fistula – a still unresolved problem

Published online by Cambridge University Press:  29 June 2007

Milo Fradi ,
Ludwig Podoshin  and
Jaacov Ben David
Milo Fradi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Bnai Zion Medical Centre, The Bruce Rappaport Faculty of Medicine, Technion-lsrael Institute of Technology, Haifa, Israel
Ludwig Podoshin*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Bnai Zion Medical Centre, The Bruce Rappaport Faculty of Medicine, Technion-lsrael Institute of Technology, Haifa, Israel
Jaacov Ben David
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Bnai Zion Medical Centre, The Bruce Rappaport Faculty of Medicine, Technion-lsrael Institute of Technology, Haifa, Israel
*
Address for correspondence: Professor L. Podoshin, Department of Otolaryngology, Bnai Zion Medical Centre, POB 4940, Haifa 31048, Israel
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Abstract

Fifty-six total laryngectomy cases are presented with special reference to post-operative fistula formation. All these patients were operated upon at the Department of Otorhinolaryngology at the Bnai Zion Medical Centre by one surgeon over a 16-year period, from 1976–1992. The incidence of fistula was 12.5 percent. This paper could not verify reports that any specific factors were significantly related to fistula formation, although there was a preponderance of fistulas in patients presenting with late stage tumours. No relationship was found with rate of infection, age, or between previous neck irradiation (ranging from 5500 to 7000 cGy) and fistula formation in the patient population.

If a fistula occurs, the administration of oral solid food keeping the nasogastric tube in place for administration of fluids may lead to spontaneous closure of the fistula, with no need for secondary surgical repair.

Keywords

Laryngectomy, complicationsFistula
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 3 , March 1995 , pp. 221 - 224
Copyright
Copyright © JLO (1984) Limited 1995

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References

Bresson, K., Rasmussen, H., Rasmussen, P. A. (1974) Pharyngocutaneous fistulae in totally laryngectomized patients. Journal of Laryngology and Otology 88: 835–842.CrossRefGoogle ScholarPubMed
Briant, T. A. R. (1975) Spontaneous pharyngeal fistula and wound infection following laryngectomy. Laryngoscope 85: 829–835.CrossRefGoogle ScholarPubMed
Dedo, D. D., Alonso, W. A., Ogura, J. H. (1970) Incidence, predisposing factors and outcome of pharyngocutaneous fistulae complicating head and neck cancer surgery. Annals of Otology, Rhinology and Laiyngology 84: 897–903.Google Scholar
Johannsen, L. V.. Overgaad, J., Elbrond, O. (1988) Pharyngo-cutaneous fistula after laryngectomy. Cancer 61: 673–678.3.0.CO;2-C>CrossRefGoogle Scholar
Kent, E. S., Liu, K. C., Gupta, A. R. D. (1985) Post-laryngectomy pharyngo-cutaneous fistulae. Journal of Laryngologv and Otology 99: 1005–1008.CrossRefGoogle ScholarPubMed
Lavelle, R. J., Maw, A. R. (1972) The aetiology of post-laryngectomy pharyngo-cutaneous fistulae. Journal of Laryngologv and Otology 86: 785–793.CrossRefGoogle ScholarPubMed
McCombe, A. W., Jones, A. S. (1993) Radiotherapy and complications of laryngectomy. Journal of Larvngology and Otology 107: 130–132.CrossRefGoogle ScholarPubMed
SUICC (1987) TMN classification of malignant tumors, (Herman, K. P., Sobin, L. H., eds.), Springer-Verlag. Berlin/London.CrossRefGoogle Scholar
Violaris, N., Bridger, M. (1990) Prophylactic antibiotics and postlaryngectomy pharyngo-cutaneous fistulae. Journal of Laryngology and Otology 104: 225–228.CrossRefGoogle Scholar
Weingrad, D. N., Spiro, R. H. (1983) Complications after laryngectomy. American Journal of Surgery 146: 517–520.CrossRefGoogle ScholarPubMed