Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap

Detalhes bibliográficos
Autor(a) principal: Sumarroca,Anna
Data de Publicação: 2019
Outros Autores: Rodríguez-Bauzà,Elena, Lop-Gros,Joan, García,Jacinto, López,Montserrat, Quer,Miquel, León,Xavier
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Journal of Otorhinolaryngology
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942019000300351
Resumo: Abstract Introduction: 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. Methods: We retrospectively reviewed our results using either a myocutaneous or fasciomuscular pectoralis major flap to repair pharyngocutaneous fistula in 50 patients. Results: 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. Conclusions: 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.
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spelling Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flapTotal laryngectomyPharyngocutaneous fistulaPectoralis major flapBypass salivary tubePharynx closureAbstract Introduction: 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. Methods: We retrospectively reviewed our results using either a myocutaneous or fasciomuscular pectoralis major flap to repair pharyngocutaneous fistula in 50 patients. Results: 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. Conclusions: 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.Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.2019-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942019000300351Brazilian Journal of Otorhinolaryngology v.85 n.3 2019reponame:Brazilian Journal of Otorhinolaryngologyinstname:Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)instacron:ABORL-CCF10.1016/j.bjorl.2018.03.002info:eu-repo/semantics/openAccessSumarroca,AnnaRodríguez-Bauzà,ElenaLop-Gros,JoanGarcía,JacintoLópez,MontserratQuer,MiquelLeón,Xaviereng2019-07-03T00:00:00Zoai:scielo:S1808-86942019000300351Revistahttp://www.bjorl.org.br/https://old.scielo.br/oai/scielo-oai.phprevista@aborlccf.org.br||revista@aborlccf.org.br1808-86861808-8686opendoar:2019-07-03T00:00Brazilian Journal of Otorhinolaryngology - Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)false
dc.title.none.fl_str_mv Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap
title Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap
spellingShingle Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap
Sumarroca,Anna
Total laryngectomy
Pharyngocutaneous fistula
Pectoralis major flap
Bypass salivary tube
Pharynx closure
title_short Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap
title_full Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap
title_fullStr Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap
title_full_unstemmed Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap
title_sort Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap
author Sumarroca,Anna
author_facet Sumarroca,Anna
Rodríguez-Bauzà,Elena
Lop-Gros,Joan
García,Jacinto
López,Montserrat
Quer,Miquel
León,Xavier
author_role author
author2 Rodríguez-Bauzà,Elena
Lop-Gros,Joan
García,Jacinto
López,Montserrat
Quer,Miquel
León,Xavier
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Sumarroca,Anna
Rodríguez-Bauzà,Elena
Lop-Gros,Joan
García,Jacinto
López,Montserrat
Quer,Miquel
León,Xavier
dc.subject.por.fl_str_mv Total laryngectomy
Pharyngocutaneous fistula
Pectoralis major flap
Bypass salivary tube
Pharynx closure
topic Total laryngectomy
Pharyngocutaneous fistula
Pectoralis major flap
Bypass salivary tube
Pharynx closure
description Abstract Introduction: 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. Methods: We retrospectively reviewed our results using either a myocutaneous or fasciomuscular pectoralis major flap to repair pharyngocutaneous fistula in 50 patients. Results: 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. Conclusions: 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.
publishDate 2019
dc.date.none.fl_str_mv 2019-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942019000300351
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942019000300351
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.bjorl.2018.03.002
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.
publisher.none.fl_str_mv Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial.
dc.source.none.fl_str_mv Brazilian Journal of Otorhinolaryngology v.85 n.3 2019
reponame:Brazilian Journal of Otorhinolaryngology
instname:Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)
instacron:ABORL-CCF
instname_str Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)
instacron_str ABORL-CCF
institution ABORL-CCF
reponame_str Brazilian Journal of Otorhinolaryngology
collection Brazilian Journal of Otorhinolaryngology
repository.name.fl_str_mv Brazilian Journal of Otorhinolaryngology - Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF)
repository.mail.fl_str_mv revista@aborlccf.org.br||revista@aborlccf.org.br
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