A Novel Laryngoscope-assisted Method for Sealing Pharyngocutaneous Fistula.
J Craniofac Surg
; 32(4): e351-e353, 2021 Jun 01.
Article
en En
| MEDLINE
| ID: mdl-33027172
ABSTRACT
ABSTRACT Pharyngocutaneous fistula (PCF) is one of the most common but stranded complications for salvage laryngectomy. As for localized fistula, there is no convincing standard and method to cure. This paper described a patient who was submitted to extensive resection of mass in right lingual root, total laryngectomy, and pharyngoesophageal reconstruction with an anterolateral thigh flap (ALTF), because of recurred carcinoma of right lingual root which invaded bilateral epiglottis. 2 weeks after surgery, subsequent pharyngocutaneous fistula developed at the junction of the tracheostomy, and maintained over 2 months under conservative treatment. With the assistance of laryngoscope, inner and outer orificiums of fistula were found and sealed by bundled iodoform strip. 9 days after sealing, fistula had been already filled with fresh granulation tissue. During 2 years after surgery, the fistula area dose not recur. This technique provides a safe and effective way for sealing the inner and outer orificiums of fistula.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Enfermedades Faríngeas
/
Neoplasias Laríngeas
/
Fístula Cutánea
/
Laringoscopios
Tipo de estudio:
Observational_studies
Límite:
Humans
Idioma:
En
Revista:
J Craniofac Surg
Asunto de la revista:
ODONTOLOGIA
Año:
2021
Tipo del documento:
Article