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Pharyngocutaneous fistula following laryngectomy
Background Pharyngocutaneous fistula (PCF) following laryngectomy is a serious complication, and its incidence varies from 7.6% to 50%. Despite the relative frequency of this complication, there is still uncertainty about the predisposing factors. Methods A retrospective study was performed in 295 p...
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| Published in: | Head & neck 1998-01, Vol.20 (1), p.22-25 |
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| container_end_page | 25 |
| container_issue | 1 |
| container_start_page | 22 |
| container_title | Head & neck |
| container_volume | 20 |
| creator | Soylu, Levent Kıroğlu, Mete Aydoğan, Barlas Çetik, Fikret Kıroğlu, Fikret Akçalı, Çağatay Özşahinoğlu, Can |
| description | Background
Pharyngocutaneous fistula (PCF) following laryngectomy is a serious complication, and its incidence varies from 7.6% to 50%. Despite the relative frequency of this complication, there is still uncertainty about the predisposing factors.
Methods
A retrospective study was performed in 295 patients who underwent total laryngectomy.
Results
Of the 295 patients, 37 (12.5%) developed PCF. The contributing factors,—such as early oral feeding postoperatively, prior radiotherapy or tracheostomy, accompanying neck dissection,—and the surgical technique failed to show a statistically significant effect. There was statistically significant association between tumor size and PCF formation. Also, when the suture materials used for the closure of the pharynx were compared, catgut showed a higher rate of PCF formation than vicryl (p < .05).
Conclusions
The vicryl, when used as a suture material for the closure of the pharynx, seemed to decrease the fistula rate significantly, compared with catgut. Also, tumor stage was found to have a significant role in PCF formation, but no statistical significant difference could be demonstrated for other investigated parameters. We believe that after total laryngectomy, oral feeding can be started at the third postoperative day without increasing morbidity, which makes the patients feel more comfortable and confident without nasogastric tube. © 1998 John Wiley & Sons, Inc. Head Neck 20: 22–25, 1998. |
| doi_str_mv | 10.1002/(SICI)1097-0347(199801)20:1<22::AID-HED4>3.0.CO;2-5 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79681389</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>79681389</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4254-3daccc91e37278d308f06aa02a98e1720385f3af88f62d4c6a14079d281a309c3</originalsourceid><addsrcrecordid>eNp9kV1v0zAYhS0EGmPjJyD1AqHtIuX1R2K7Q0hbNrpO04q0AZevjGOPgNuMuNHWf4-zVOUCtKs4OkfHjx4TckRhTAHY-4PrWTk7pKBlBlzIA6q1AnrIYEI_MDaZHM9Os_OzU_GRj2Fczo9Ylj8ju9v-8_4seMZBipfkVYw_AYAXgu2QHS0KoYXaJfD5h2nXy9vGdiuzdE0XR76Oqy6YkW9CaO7r5e0oPFacXTWL9T554U2I7vXmu0e-fDq7Kc-zy_l0Vh5fZlawXGS8MtZaTR2XTKqKg_JQGAPMaOWoZMBV7rnxSvmCVcIWhgqQumKKGg7a8j3ybti9a5vfnYsrXNTRuhAGSpS6UJQrnYrXQ9G2TYyt83jX1otEjBSw94jYe8TeC_ZecPCILMXIUpw8Yu8ROQKWc2SYp9U3m-u77wtXbTc34lL-dpObaE3wrVnaOm5rDFROFf8Ld18Ht_6H7Gmw_3A9_qfVbFhNL-Uetqum_YWF5DLHb1dTnJ5wdXPxdYqC_wF9NadB</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>79681389</pqid></control><display><type>article</type><title>Pharyngocutaneous fistula following laryngectomy</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Soylu, Levent ; Kıroğlu, Mete ; Aydoğan, Barlas ; Çetik, Fikret ; Kıroğlu, Fikret ; Akçalı, Çağatay ; Özşahinoğlu, Can</creator><creatorcontrib>Soylu, Levent ; Kıroğlu, Mete ; Aydoğan, Barlas ; Çetik, Fikret ; Kıroğlu, Fikret ; Akçalı, Çağatay ; Özşahinoğlu, Can</creatorcontrib><description>Background
Pharyngocutaneous fistula (PCF) following laryngectomy is a serious complication, and its incidence varies from 7.6% to 50%. Despite the relative frequency of this complication, there is still uncertainty about the predisposing factors.
Methods
A retrospective study was performed in 295 patients who underwent total laryngectomy.
Results
Of the 295 patients, 37 (12.5%) developed PCF. The contributing factors,—such as early oral feeding postoperatively, prior radiotherapy or tracheostomy, accompanying neck dissection,—and the surgical technique failed to show a statistically significant effect. There was statistically significant association between tumor size and PCF formation. Also, when the suture materials used for the closure of the pharynx were compared, catgut showed a higher rate of PCF formation than vicryl (p < .05).
Conclusions
The vicryl, when used as a suture material for the closure of the pharynx, seemed to decrease the fistula rate significantly, compared with catgut. Also, tumor stage was found to have a significant role in PCF formation, but no statistical significant difference could be demonstrated for other investigated parameters. We believe that after total laryngectomy, oral feeding can be started at the third postoperative day without increasing morbidity, which makes the patients feel more comfortable and confident without nasogastric tube. © 1998 John Wiley & Sons, Inc. Head Neck 20: 22–25, 1998.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/(SICI)1097-0347(199801)20:1<22::AID-HED4>3.0.CO;2-5</identifier><identifier>PMID: 9464948</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Biocompatible Materials ; Biological and medical sciences ; Catgut ; Chi-Square Distribution ; Cutaneous Fistula - epidemiology ; Cutaneous Fistula - etiology ; Enteral Nutrition - adverse effects ; feeding ; Female ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Incidence ; Laryngeal Neoplasms - pathology ; Laryngeal Neoplasms - surgery ; laryngectomy ; Laryngectomy - adverse effects ; larynx carcinoma ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; nasogastric tube ; Neoplasm Staging ; Pharyngeal Diseases - epidemiology ; Pharyngeal Diseases - etiology ; pharyngocutaneous fistula ; Polyglactin 910 ; Prognosis ; Retrospective Studies ; Risk Factors ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the upper aerodigestive tract ; Survival Rate ; Sutures ; Turkey - epidemiology</subject><ispartof>Head & neck, 1998-01, Vol.20 (1), p.22-25</ispartof><rights>Copyright © 1998 John Wiley & Sons, Inc.</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4254-3daccc91e37278d308f06aa02a98e1720385f3af88f62d4c6a14079d281a309c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2085183$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9464948$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soylu, Levent</creatorcontrib><creatorcontrib>Kıroğlu, Mete</creatorcontrib><creatorcontrib>Aydoğan, Barlas</creatorcontrib><creatorcontrib>Çetik, Fikret</creatorcontrib><creatorcontrib>Kıroğlu, Fikret</creatorcontrib><creatorcontrib>Akçalı, Çağatay</creatorcontrib><creatorcontrib>Özşahinoğlu, Can</creatorcontrib><title>Pharyngocutaneous fistula following laryngectomy</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
Pharyngocutaneous fistula (PCF) following laryngectomy is a serious complication, and its incidence varies from 7.6% to 50%. Despite the relative frequency of this complication, there is still uncertainty about the predisposing factors.
Methods
A retrospective study was performed in 295 patients who underwent total laryngectomy.
Results
Of the 295 patients, 37 (12.5%) developed PCF. The contributing factors,—such as early oral feeding postoperatively, prior radiotherapy or tracheostomy, accompanying neck dissection,—and the surgical technique failed to show a statistically significant effect. There was statistically significant association between tumor size and PCF formation. Also, when the suture materials used for the closure of the pharynx were compared, catgut showed a higher rate of PCF formation than vicryl (p < .05).
Conclusions
The vicryl, when used as a suture material for the closure of the pharynx, seemed to decrease the fistula rate significantly, compared with catgut. Also, tumor stage was found to have a significant role in PCF formation, but no statistical significant difference could be demonstrated for other investigated parameters. We believe that after total laryngectomy, oral feeding can be started at the third postoperative day without increasing morbidity, which makes the patients feel more comfortable and confident without nasogastric tube. © 1998 John Wiley & Sons, Inc. Head Neck 20: 22–25, 1998.</description><subject>Adult</subject><subject>Aged</subject><subject>Biocompatible Materials</subject><subject>Biological and medical sciences</subject><subject>Catgut</subject><subject>Chi-Square Distribution</subject><subject>Cutaneous Fistula - epidemiology</subject><subject>Cutaneous Fistula - etiology</subject><subject>Enteral Nutrition - adverse effects</subject><subject>feeding</subject><subject>Female</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Laryngeal Neoplasms - pathology</subject><subject>Laryngeal Neoplasms - surgery</subject><subject>laryngectomy</subject><subject>Laryngectomy - adverse effects</subject><subject>larynx carcinoma</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>nasogastric tube</subject><subject>Neoplasm Staging</subject><subject>Pharyngeal Diseases - epidemiology</subject><subject>Pharyngeal Diseases - etiology</subject><subject>pharyngocutaneous fistula</subject><subject>Polyglactin 910</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the upper aerodigestive tract</subject><subject>Survival Rate</subject><subject>Sutures</subject><subject>Turkey - epidemiology</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><recordid>eNp9kV1v0zAYhS0EGmPjJyD1AqHtIuX1R2K7Q0hbNrpO04q0AZevjGOPgNuMuNHWf4-zVOUCtKs4OkfHjx4TckRhTAHY-4PrWTk7pKBlBlzIA6q1AnrIYEI_MDaZHM9Os_OzU_GRj2Fczo9Ylj8ju9v-8_4seMZBipfkVYw_AYAXgu2QHS0KoYXaJfD5h2nXy9vGdiuzdE0XR76Oqy6YkW9CaO7r5e0oPFacXTWL9T554U2I7vXmu0e-fDq7Kc-zy_l0Vh5fZlawXGS8MtZaTR2XTKqKg_JQGAPMaOWoZMBV7rnxSvmCVcIWhgqQumKKGg7a8j3ybti9a5vfnYsrXNTRuhAGSpS6UJQrnYrXQ9G2TYyt83jX1otEjBSw94jYe8TeC_ZecPCILMXIUpw8Yu8ROQKWc2SYp9U3m-u77wtXbTc34lL-dpObaE3wrVnaOm5rDFROFf8Ld18Ht_6H7Gmw_3A9_qfVbFhNL-Uetqum_YWF5DLHb1dTnJ5wdXPxdYqC_wF9NadB</recordid><startdate>199801</startdate><enddate>199801</enddate><creator>Soylu, Levent</creator><creator>Kıroğlu, Mete</creator><creator>Aydoğan, Barlas</creator><creator>Çetik, Fikret</creator><creator>Kıroğlu, Fikret</creator><creator>Akçalı, Çağatay</creator><creator>Özşahinoğlu, Can</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>John Wiley & Sons</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199801</creationdate><title>Pharyngocutaneous fistula following laryngectomy</title><author>Soylu, Levent ; Kıroğlu, Mete ; Aydoğan, Barlas ; Çetik, Fikret ; Kıroğlu, Fikret ; Akçalı, Çağatay ; Özşahinoğlu, Can</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4254-3daccc91e37278d308f06aa02a98e1720385f3af88f62d4c6a14079d281a309c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biocompatible Materials</topic><topic>Biological and medical sciences</topic><topic>Catgut</topic><topic>Chi-Square Distribution</topic><topic>Cutaneous Fistula - epidemiology</topic><topic>Cutaneous Fistula - etiology</topic><topic>Enteral Nutrition - adverse effects</topic><topic>feeding</topic><topic>Female</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Incidence</topic><topic>Laryngeal Neoplasms - pathology</topic><topic>Laryngeal Neoplasms - surgery</topic><topic>laryngectomy</topic><topic>Laryngectomy - adverse effects</topic><topic>larynx carcinoma</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>nasogastric tube</topic><topic>Neoplasm Staging</topic><topic>Pharyngeal Diseases - epidemiology</topic><topic>Pharyngeal Diseases - etiology</topic><topic>pharyngocutaneous fistula</topic><topic>Polyglactin 910</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the upper aerodigestive tract</topic><topic>Survival Rate</topic><topic>Sutures</topic><topic>Turkey - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soylu, Levent</creatorcontrib><creatorcontrib>Kıroğlu, Mete</creatorcontrib><creatorcontrib>Aydoğan, Barlas</creatorcontrib><creatorcontrib>Çetik, Fikret</creatorcontrib><creatorcontrib>Kıroğlu, Fikret</creatorcontrib><creatorcontrib>Akçalı, Çağatay</creatorcontrib><creatorcontrib>Özşahinoğlu, Can</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soylu, Levent</au><au>Kıroğlu, Mete</au><au>Aydoğan, Barlas</au><au>Çetik, Fikret</au><au>Kıroğlu, Fikret</au><au>Akçalı, Çağatay</au><au>Özşahinoğlu, Can</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pharyngocutaneous fistula following laryngectomy</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>1998-01</date><risdate>1998</risdate><volume>20</volume><issue>1</issue><spage>22</spage><epage>25</epage><pages>22-25</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background
Pharyngocutaneous fistula (PCF) following laryngectomy is a serious complication, and its incidence varies from 7.6% to 50%. Despite the relative frequency of this complication, there is still uncertainty about the predisposing factors.
Methods
A retrospective study was performed in 295 patients who underwent total laryngectomy.
Results
Of the 295 patients, 37 (12.5%) developed PCF. The contributing factors,—such as early oral feeding postoperatively, prior radiotherapy or tracheostomy, accompanying neck dissection,—and the surgical technique failed to show a statistically significant effect. There was statistically significant association between tumor size and PCF formation. Also, when the suture materials used for the closure of the pharynx were compared, catgut showed a higher rate of PCF formation than vicryl (p < .05).
Conclusions
The vicryl, when used as a suture material for the closure of the pharynx, seemed to decrease the fistula rate significantly, compared with catgut. Also, tumor stage was found to have a significant role in PCF formation, but no statistical significant difference could be demonstrated for other investigated parameters. We believe that after total laryngectomy, oral feeding can be started at the third postoperative day without increasing morbidity, which makes the patients feel more comfortable and confident without nasogastric tube. © 1998 John Wiley & Sons, Inc. Head Neck 20: 22–25, 1998.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>9464948</pmid><doi>10.1002/(SICI)1097-0347(199801)20:1<22::AID-HED4>3.0.CO;2-5</doi><tpages>4</tpages></addata></record> |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adult Aged Biocompatible Materials Biological and medical sciences Catgut Chi-Square Distribution Cutaneous Fistula - epidemiology Cutaneous Fistula - etiology Enteral Nutrition - adverse effects feeding Female Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Incidence Laryngeal Neoplasms - pathology Laryngeal Neoplasms - surgery laryngectomy Laryngectomy - adverse effects larynx carcinoma Length of Stay Male Medical sciences Middle Aged nasogastric tube Neoplasm Staging Pharyngeal Diseases - epidemiology Pharyngeal Diseases - etiology pharyngocutaneous fistula Polyglactin 910 Prognosis Retrospective Studies Risk Factors Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract Survival Rate Sutures Turkey - epidemiology |
| title | Pharyngocutaneous fistula following laryngectomy |
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