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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1995;38(9): 1427-33. |
Pharyngocutaneous Fistula after Total Laryngectomy |
Eun Chang Choi, MD, Chang Hyun Cho, MD, Seung Mun Lee, MD, Young-Ho Kim, MD, and Won Pyo Hong, MD |
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea |
후두전절제술의 인두피부루 |
최은창 · 조창현 · 이승문 · 김영호 · 홍원표 |
연세대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
Postoperative phyaryngocutaneous fistula is a major complication of total lyarngectomy that prolongs hospital stay and even thretens life. It is a common complication that increased the morbidity and mortality of the procedure. In the Department of Otorhinolaryngology of the Severance Hospital, 74 patients underwent total laryngectomy from January 1992 through December 1994. Nine patients developed fistula(incidence 12.2%). In the patients with preoperative radiotherapy or pharyngeal reconstruction with forearm free flap showed the increased tendency to develop fistula. Other causes were thought to be postoperative hematoma, residual tumor, planned fistula and technical problem of repair. Seven of nine fistula were closed successfully with conservative or second surgical procedure. Average completion time was 48.7 day(range 22-93 days). Early diversion of the fistula was effective to shorten the hospital stay and to protect from aspiration.
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Keywords:
Total laryngectomyㆍPharyngocutaneous Fistulaㆍcomplications. |
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