OBJECTIVE: The purpose of this study was to determine the rate of post-laryngectomy pharyngocutaneous fistulae and its association with age, gender, preoperative radiation, TNM staging, patients comorbidity factors, choice of ablation, choice of reconstruction, modality of postoperative feeding, and whether or not a primary tracheoesophageal puncture was performed. DESIGN: Retrospective clinical study. SETTING: The Toronto Hospital/Princess Margaret Hospital, University of Toronto, Toronto, Ontario. METHOD: One hundred and twenty-five consecutive laryngectomy procedures performed between July 1, 1992, and October 1, 1996, were reviewed. RESULTS: There was an overall fistula rate of 22%. No association found was between fistula rates and age, gender, patient comorbidity factors, TNM stage, choice of ablation, choice of reconstruction, modality of postoperative feeding, or whether a primary tracheoesophageal puncture was performed or not. CONCLUSIONS: At this tertiary care head and neck oncology centre, pharyngocutaneous fistulae remain an unpredictable and serious complication with an estimated economic cost of Cdn $400,000 per year.
OBJECTIVE: The purpose of this study was to determine the rate of post-laryngectomy pharyngocutaneous fistulae and its association with age, gender, preoperative radiation, TNM staging, patients comorbidity factors, choice of ablation, choice of reconstruction, modality of postoperative feeding, and whether or not a primary tracheoesophageal puncture was performed. DESIGN: Retrospective clinical study. SETTING: The Toronto Hospital/Princess Margaret Hospital, University of Toronto, Toronto, Ontario. METHOD: One hundred and twenty-five consecutive laryngectomy procedures performed between July 1, 1992, and October 1, 1996, were reviewed. RESULTS: There was an overall fistula rate of 22%. No association found was between fistula rates and age, gender, patient comorbidity factors, TNM stage, choice of ablation, choice of reconstruction, modality of postoperative feeding, or whether a primary tracheoesophageal puncture was performed or not. CONCLUSIONS: At this tertiary care head and neck oncology centre, pharyngocutaneous fistulae remain an unpredictable and serious complication with an estimated economic cost of Cdn $400,000 per year.
Authors: Antti A Mäkitie; Riina Niemensivu; Mari Hero; Harri Keski-Säntti; Leif Bäck; Mikael Kajanti; Hannu Lehtonen; Timo Atula Journal: Eur Arch Otorhinolaryngol Date: 2006-09-21 Impact factor: 2.503
Authors: Konstantinos D Markou; Konstantinos C Vlachtsis; Angelos C Nikolaou; Dimitrios G Petridis; Athanasios I Kouloulas; Ioannis C Daniilidis Journal: Eur Arch Otorhinolaryngol Date: 2003-07-10 Impact factor: 2.503
Authors: Felipe Toyama Aires; Rogério Aparecido Dedivitis; Mario Augusto Ferrari de Castro; Daniel Araki Ribeiro; Claudio Roberto Cernea; Lenine Garcia Brandão Journal: Braz J Otorhinolaryngol Date: 2012-12
Authors: F Mattioli; M Bettini; G Molteni; A Piccinini; F Valoriani; S Gabriele; L Presutti Journal: Acta Otorhinolaryngol Ital Date: 2015-10 Impact factor: 2.124