Pharyngeal mucosal closure in total laryngectomy : comparison between vertical and T-shaped closure
Objective: The objective of this study was to compare the outcomes vertical and T-shaped pharyngoplasty closure techniques after total laryngectomy (TL) and to evaluate the factors associated with the development of pharyngocutaneous fistula.
Materials and methods: We performed a retrospective study that included patients with a histopathological diagnosis of laryngeal cancer that underwent TL between 2009 and 2021.
Results: Fifty-seven patients were included in the study. A total of 14 patients underwent a vertical closure of the neopharynx (24.6%), while 43 patients underwent a T-shaped closure (74.4%). Pharyngocutaneous fistula was the most common complication, observed in 40.4% of cases (n = 23). No difference in the rate of complications was observed between groups, with the exception of tracheal dehiscence which was reduced in patients with T-shaped closure (n = 2, 4.7% vs. n = 5, 35.7%, p = 0.002). Diabetes mellitus was more frequently observed in patients withthe development of pharyngocutaneous fistula (n = 7, 30.4% vs. n = 3, 8.8%, p = 0.03).
Conclusions: Although complicationswere lower in the T-shaped closure group, we could not establish the superiority of either technique.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Cirugia y cirujanos - (2024) vom: 19. März |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Montemayor-Alatorre, Adolfo [VerfasserIn] |
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| Links: |
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| Themen: |
Fistula |
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| Anmerkungen: |
Date Revised 19.03.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.24875/CIRU.22000324 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369925513 |
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| 245 | 1 | 0 | |a Pharyngeal mucosal closure in total laryngectomy |b comparison between vertical and T-shaped closure |
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| 500 | |a Date Revised 19.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a Objective: The objective of this study was to compare the outcomes vertical and T-shaped pharyngoplasty closure techniques after total laryngectomy (TL) and to evaluate the factors associated with the development of pharyngocutaneous fistula | ||
| 520 | |a Materials and methods: We performed a retrospective study that included patients with a histopathological diagnosis of laryngeal cancer that underwent TL between 2009 and 2021 | ||
| 520 | |a Results: Fifty-seven patients were included in the study. A total of 14 patients underwent a vertical closure of the neopharynx (24.6%), while 43 patients underwent a T-shaped closure (74.4%). Pharyngocutaneous fistula was the most common complication, observed in 40.4% of cases (n = 23). No difference in the rate of complications was observed between groups, with the exception of tracheal dehiscence which was reduced in patients with T-shaped closure (n = 2, 4.7% vs. n = 5, 35.7%, p = 0.002). Diabetes mellitus was more frequently observed in patients withthe development of pharyngocutaneous fistula (n = 7, 30.4% vs. n = 3, 8.8%, p = 0.03) | ||
| 520 | |a Conclusions: Although complicationswere lower in the T-shaped closure group, we could not establish the superiority of either technique | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Fistula | |
| 650 | 4 | |a Laryngeal cancer | |
| 650 | 4 | |a Laryngectomy | |
| 650 | 4 | |a Treatment outcome | |
| 650 | 4 | |a Wound closure techniques | |
| 700 | 1 | |a Serna-Vazquez, Ruth P |e verfasserin |4 aut | |
| 700 | 1 | |a Santos-Santillana, Karla M |e verfasserin |4 aut | |
| 700 | 1 | |a Morales-Del Ángel, Josefina A |e verfasserin |4 aut | |
| 700 | 1 | |a Córtes-Ponce, José R |e verfasserin |4 aut | |
| 700 | 1 | |a Treviño-González, José L |e verfasserin |4 aut | |
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