Analysis of the related factors to pharyngocutaneous fistula after total laryngectomy
10.3760/cma.j.issn.1673-4904.2014.24.011
- VernacularTitle:全喉切除术后咽瘘发生的相关因素分析
- Author:
Yunping XIE
;
Jianping HE
;
Caijun CHEN
- Publication Type:Journal Article
- Keywords:
Laryngeal neoplasms;
Total laryngectomy;
Pharyngo-cutaneous fistula
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(24):33-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the related factors,and discuss the causes and prevention measures of pharyngocutaneous fistula caused by total laryngectomy.Methods The complete chnical data of 118 patients underwent laryngeal ancer surgery were analyzed retrospectively.Analyzed the relationship between pharyngocutaneous fistula and the factors of sex,age,pre-operative nutrition states,preoperative radiotherapy,prior tracheotomy,neck dissection,tumor position,clinical stage of tumor,patho-staging,post-operative infection comobidity with analysis of single factor.Results Among the 118 cases of laryngeal carcinoma,17 cases were pharyngocutaneous fistula after operation,the incidence was 14.4％ (17/118).According to the statistical analysis results,the predominant influencing factors in the causation of pharyngocutaneous fistula were:pre-operative nutrition states,pre-operative radiotherapy,clinical stage of tumor and post-operative infection.Concusion Pharyngocutaneous fistula after total laryngectomy is related to many factors,avoiding the above mentioned factors can reduce the rate of fistula and improve the life quality.
