Clinical outcome of conservative treatment for pharyngocutaneous fistula.
- Author:
Xiaolin ZHU
1
;
Weiping WEN
;
Aiyun JIANG
;
Wenbin LEI
;
Lijin BU
;
Zhenzhong SHU
Author Information
1. Hospital of Otorhinolaryngology, First Affiliated Hospital, Otorhinolaryngology Institute of Sun Yat-sen University, Guangzhou 510800, China.
- Publication Type:Journal Article
- MeSH:
Carcinoma, Squamous Cell;
surgery;
Cutaneous Fistula;
therapy;
Humans;
Laryngeal Neoplasms;
surgery;
Laryngectomy;
adverse effects;
Pharyngeal Diseases;
therapy;
Postoperative Complications;
therapy
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2008;22(23):1079-1082
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To analyze the conservative management and outcomes of pharyngocutaneous fistula after total laryngectomy.
METHOD:Twenty-one patients with postoperative fistulas were identified and treated by conservative therapy.
RESULT:Different treatment were given basing on the three stages of pharyngocutaneous fistula: drainage and cleaning stage, pressure bandaging stage and healing stage. Fourteen patients (66.7%) with the conservative therapy resumed oral feeding after closure of fistula, the other 7 patients had to be cured by further operation.
CONCLUSION:Management basing on the stages of pharyngocutaneous fistula can achieve satisfied outcome. It can provide important information for pharyngocutaneous fistula's treatment.
