Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Management of Pharyngocutaneous Fistula Following Laryngectomy

후두적출술 후 발생한 인두피부누공의 치료 경험

  • Min Hun-Ki (Department of Otolaryngology-Head & Neck Surgery, Korea University, College of Medicine) ;
  • Kwon Soon-Young (Department of Otolaryngology-Head & Neck Surgery, Korea University, College of Medicine) ;
  • Jung Kwang-Yoon (Department of Otolaryngology-Head & Neck Surgery, Korea University, College of Medicine) ;
  • Choi Jong-Ouck (Department of Otolaryngology-Head & Neck Surgery, Korea University, College of Medicine)
  • 민헌기 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 권순영 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 정광윤 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 최종욱 (고려대학교 의과대학 이비인후-두경부외과학교실)
  • Published : 1995.11.01
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Abstract

Pharyngocutaneous fistula(PCF) is one of the complications following total laryngectomy in laryngeal and hypopharyngeal cancer. Fistula lead to delayed wound healing, more serious complications such as carotid blow-out, prolonged hospitalization, significant patient morbidity and occasional mortality. Identification of patients at high risk for fistula formation, appropriate preventive measures, and appropriate management are the head and neck surgeon's responsibility. So we analyzed the clinical data of pharyngocutaneous fistula which was developed after total laryngectomy. Following results were obtained: 1) Occurrence of PCF increases with salvage surgery compared to curative surgery. 2) Early detection and effective management of PCF are the key factors to decreasing the hospitalization period. 3) Constructing a pharyngostoma seems to be an ideal method of preventing dangerous complications and ultimately closing the fistula. 4) Simultaneous reconstruction is necessary in the high risk group.

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