Analysis of predisposing factors of pharyngo-cutaneous fistulas after laryngeal cancer surgery
- VernacularTitle:喉切除术后咽瘘发生的相关因素
- Author:
Lihui YANG
;
Xing GUO
- Publication Type:Journal Article
- Keywords:
Fistula;
Laryngeal Neoplasms;
Laryngectom
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2006;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To explore the predisposing factors of pharyngo-cutaneous fistulas after surgical treatment of laryngeal cancer. METHODS A retrospective study of 757 patients who underwent laryngectomy during a 10-year period was carried out. RESULTS The occurrence rate of post-laryngectomy pharyngo-cutaneous fistula was 4.2 %. Single-factor analysis showed that parameters related to the occurrence rate of post-laryngectomy pharyngo-cutaneous fistula included clinical stage of tumor, appearance of post-operative infection, undergoing of pre-operative radiotherapy, and pre-operative nutrition states. CONCLUSION Pharyngo-cutaneous fistulas appears more frequently in patients with T3 and T4 tumor and who underwent pre-operative radiotherapy. Skillful operative technique and effective prevention of post-operative infection may contribute toward reducing the incidence of pharyngo-cutaneous fistulas after surgical treatment of laryngeal cancer.
