Complication in the pharyngeal cutaneous fistula after total laryngectomy: a preliminary analysis

Detalhes bibliográficos
Autor(a) principal: Santana, Mary Elizabeth de
Data de Publicação: 2003
Outros Autores: Sawada, Namie Okino, Sonobe, Helena Megumi, Zago, Márcia Maria Fontão
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/2077
Resumo: The most severe and frequent complication presented by laryngectomized patients is the pharyngeal cutaneous fistula. This investigation aimed at analyzing the frequency in the literature of the risk factors that contribute to the formation of pharyngeal cutaneous fistula. This is a descriptive study in which authors analyzed 10 articles, indexed in the PUBMED and MEDLINE databases from March 2001 to March 2002. The risk factors for the formation of pharyngeal cutaneous fistula were: preoperatory radiotherapy; neck dissection, type of material used for sutura; preoperatory tracheostomy; systemic diseases; blood transfusion; neck draining type; infection and hematoma formation. This complication increases the hospitalization and cicatrization period, with an average of 28 days and 36 days, respectively. The predominant treatment is still conservative, in which the nurse needs technical and scientific knowledge as the care involves intensive and hygienic procedures and the wound treatment. The ability for clinical and technical reasoning linked to the search for evidences as well as nurse's capability of interpersonal relationship will determine the quality of nursing interventions in the care provided to the laryngectomized patient.
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spelling Complication in the pharyngeal cutaneous fistula after total laryngectomy: a preliminary analysisA complicação fístula faringocutânea após laringectomia total: uma análise preliminarLaringectomia TotalFístula FaringocutâneaComplicaçõesFatores de RiscoTotal LaryngectomyPharyngeal Cutaneous FistulaComplicationsRisk FactorsThe most severe and frequent complication presented by laryngectomized patients is the pharyngeal cutaneous fistula. This investigation aimed at analyzing the frequency in the literature of the risk factors that contribute to the formation of pharyngeal cutaneous fistula. This is a descriptive study in which authors analyzed 10 articles, indexed in the PUBMED and MEDLINE databases from March 2001 to March 2002. The risk factors for the formation of pharyngeal cutaneous fistula were: preoperatory radiotherapy; neck dissection, type of material used for sutura; preoperatory tracheostomy; systemic diseases; blood transfusion; neck draining type; infection and hematoma formation. This complication increases the hospitalization and cicatrization period, with an average of 28 days and 36 days, respectively. The predominant treatment is still conservative, in which the nurse needs technical and scientific knowledge as the care involves intensive and hygienic procedures and the wound treatment. The ability for clinical and technical reasoning linked to the search for evidences as well as nurse's capability of interpersonal relationship will determine the quality of nursing interventions in the care provided to the laryngectomized patient.A complicação mais grave e freqüente apresentada pelo laringectomizado total é a fístula faringocutânea. Nesta investigação objetivou-se analisar a freqüência e os fatores de risco que contribuem para a formação de fístula faringocutânea, na literatura. Este é um estudo descritivo no qual analisaram-se 10 artigos indexados nos Bancos de Dados PUBMED e MEDLINE, que foram adquiridos na íntegra, no período de março de 2001 a março de 2002. Os fatores de risco identificados para a formação da fístula faringocutânea foram: radioterapia pré-operatória; dissecção radical do pescoço; tipo de material de sutura utilizado; traqueostomia pré-operatória; doenças sistêmicas; estadiamento do tumor; transfusão sangüínea no transoperatório; tipo de drenagem do pescoço; infecção da ferida e formação de hematoma. Esta complicação aumentou o período de internação e de cicatrização, com médias de 28 e de 36 dias, respectivamente. O tratamento predominante é ainda o conservador, no qual a enfermeira necessita de conhecimentos técnico-científicos, pois requer os cuidados intensivos, higiênicos e de tratamento da ferida. A habilidade de raciocínio clínico e técnica, aliada à busca de evidências e capacidade de relacionamento interpessoal da enfermeira, é que determinará a qualidade das intervenções de enfermagem no atendimento das complicações do laringectomizado total.INCA2003-12-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRevisão de literaturaapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/207710.32635/2176-9745.RBC.2003v49n4.2077Revista Brasileira de Cancerologia; Vol. 49 No. 4 (2003): Oct./Nov./Dec.; 239-244Revista Brasileira de Cancerologia; Vol. 49 Núm. 4 (2003): oct./nov./dic.; 239-244Revista Brasileira de Cancerologia; v. 49 n. 4 (2003): out./nov./dez.; 239-2442176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/2077/1292Santana, Mary Elizabeth de Sawada, Namie Okino Sonobe, Helena Megumi Zago, Márcia Maria Fontão info:eu-repo/semantics/openAccess2021-11-29T20:34:24Zoai:rbc.inca.gov.br:article/2077Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:34:24Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Complication in the pharyngeal cutaneous fistula after total laryngectomy: a preliminary analysis
A complicação fístula faringocutânea após laringectomia total: uma análise preliminar
title Complication in the pharyngeal cutaneous fistula after total laryngectomy: a preliminary analysis
spellingShingle Complication in the pharyngeal cutaneous fistula after total laryngectomy: a preliminary analysis
Santana, Mary Elizabeth de
Laringectomia Total
Fístula Faringocutânea
Complicações
Fatores de Risco
Total Laryngectomy
Pharyngeal Cutaneous Fistula
Complications
Risk Factors
title_short Complication in the pharyngeal cutaneous fistula after total laryngectomy: a preliminary analysis
title_full Complication in the pharyngeal cutaneous fistula after total laryngectomy: a preliminary analysis
title_fullStr Complication in the pharyngeal cutaneous fistula after total laryngectomy: a preliminary analysis
title_full_unstemmed Complication in the pharyngeal cutaneous fistula after total laryngectomy: a preliminary analysis
title_sort Complication in the pharyngeal cutaneous fistula after total laryngectomy: a preliminary analysis
author Santana, Mary Elizabeth de
author_facet Santana, Mary Elizabeth de
Sawada, Namie Okino
Sonobe, Helena Megumi
Zago, Márcia Maria Fontão
author_role author
author2 Sawada, Namie Okino
Sonobe, Helena Megumi
Zago, Márcia Maria Fontão
author2_role author
author
author
dc.contributor.author.fl_str_mv Santana, Mary Elizabeth de
Sawada, Namie Okino
Sonobe, Helena Megumi
Zago, Márcia Maria Fontão
dc.subject.por.fl_str_mv Laringectomia Total
Fístula Faringocutânea
Complicações
Fatores de Risco
Total Laryngectomy
Pharyngeal Cutaneous Fistula
Complications
Risk Factors
topic Laringectomia Total
Fístula Faringocutânea
Complicações
Fatores de Risco
Total Laryngectomy
Pharyngeal Cutaneous Fistula
Complications
Risk Factors
description The most severe and frequent complication presented by laryngectomized patients is the pharyngeal cutaneous fistula. This investigation aimed at analyzing the frequency in the literature of the risk factors that contribute to the formation of pharyngeal cutaneous fistula. This is a descriptive study in which authors analyzed 10 articles, indexed in the PUBMED and MEDLINE databases from March 2001 to March 2002. The risk factors for the formation of pharyngeal cutaneous fistula were: preoperatory radiotherapy; neck dissection, type of material used for sutura; preoperatory tracheostomy; systemic diseases; blood transfusion; neck draining type; infection and hematoma formation. This complication increases the hospitalization and cicatrization period, with an average of 28 days and 36 days, respectively. The predominant treatment is still conservative, in which the nurse needs technical and scientific knowledge as the care involves intensive and hygienic procedures and the wound treatment. The ability for clinical and technical reasoning linked to the search for evidences as well as nurse's capability of interpersonal relationship will determine the quality of nursing interventions in the care provided to the laryngectomized patient.
publishDate 2003
dc.date.none.fl_str_mv 2003-12-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Revisão de literatura
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2077
10.32635/2176-9745.RBC.2003v49n4.2077
url https://rbc.inca.gov.br/index.php/revista/article/view/2077
identifier_str_mv 10.32635/2176-9745.RBC.2003v49n4.2077
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2077/1292
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 49 No. 4 (2003): Oct./Nov./Dec.; 239-244
Revista Brasileira de Cancerologia; Vol. 49 Núm. 4 (2003): oct./nov./dic.; 239-244
Revista Brasileira de Cancerologia; v. 49 n. 4 (2003): out./nov./dez.; 239-244
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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