Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
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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Brazilian Journal of Otorhinolaryngology |
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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 |
_version_ |
1754575993582911488 |