Phakdee Sannikorn1, Natita Pornniwes. 1. Department of Otolaryngology Head & Neck Surgery, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand. drpakdee@gmail.com
Abstract
BACKGROUND: Closure of the wall of the pharynx is an important step in the total laryngectomy operation. An inadequate closure results in tissue contamination, wound infection, and the development of pharyngo-cutaneous fistula. OBJECTIVE: To study the outcomes of neo-pharyngeal closure after total laryngectomy by stapler compared with conventional techniques. MATERIAL AND METHOD: A retrospective descriptive study of patients undergoing total laryngectomy with either pharyngeal stapling or suturing between January 2007 and December 2011. RESULTS: Twenty-six patients had pharyngeal stapling, while another twenty-six had a conventional pharyngeal closure. The operative time was significantly less in the stapler group (p < 0.001). CONCLUSION: Pharyngeal stapling might be an alternative technique for total laryngectomy.
BACKGROUND: Closure of the wall of the pharynx is an important step in the total laryngectomy operation. An inadequate closure results in tissue contamination, wound infection, and the development of pharyngo-cutaneous fistula. OBJECTIVE: To study the outcomes of neo-pharyngeal closure after total laryngectomy by stapler compared with conventional techniques. MATERIAL AND METHOD: A retrospective descriptive study of patients undergoing total laryngectomy with either pharyngeal stapling or suturing between January 2007 and December 2011. RESULTS: Twenty-six patients had pharyngeal stapling, while another twenty-six had a conventional pharyngeal closure. The operative time was significantly less in the stapler group (p < 0.001). CONCLUSION: Pharyngeal stapling might be an alternative technique for total laryngectomy.
Authors: Carlos M Chiesa-Estomba; Miguel Mayo-Yanez; Jose M Palacios-García; Jerome R Lechien; Gerrit Viljoen; Petros D Karkos; Maria R Barillari; Jose A González-García; Jon A Sistiaga-Suarez; Jesus Herranz González-Botas; Tareck Ayad; Alfio Ferlito Journal: Oncol Ther Date: 2022-03-31