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Tissue transfer to post-chemoradiation salvage laryngectomy defects to prevent pharyngocutaneous fistula: single-centre experience

Lookup NU author(s): Umeshkumar Ullal, Professor Vinidh Paleri

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Abstract

Background: In recent practice, we have used tissue transfer (pedicled or free flap) to augment the pharyngeal circumference of the neopharynx following salvage total laryngectomy, even in patients who have sufficient pharyngeal mucosa for primary closure. In this study, the rates of pharyngocutaneous fistula were compared in soft tissue flap reconstructed patients versus patients who underwent primary closure.Method: A retrospective assessment was carried out of all patients who had undergone a salvage total laryngectomy between 2000 and 2010. The presence or absence of a pharyngocutaneous fistula was compared in those who received reconstruction closure versus those who received primary closure.Results: The reconstruction closure group (n = 7) had no incidence of pharyngocutaneous fistula, whereas the primary closure group (n = 38) had 10 fistulas, giving pharyngocutaneous fistula rates of 0 per cent versus 26 per cent, respectively.Conclusion: The findings revealed a lower rate of pharyngocutaneous fistula with tissue transfer compared with primary closure of the neopharynx.

Publication metadata

Author(s): Powell J, Ullal UR, Ahmed O, Ragbir M, Paleri V

Publication type: Article

Publication status: Published

Journal: Journal of Laryngology & Otology

Year: 2014

Volume: 128

Issue: 4

Pages: 365-367

Print publication date: 01/04/2014

ISSN (print): 0022-2151

ISSN (electronic): 1748-5460

Publisher: Cambridge University Press

URL: http://dx.doi.org/10.1017/S0022215114000504

DOI: 10.1017/S0022215114000504

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