BACKGROUND AND OBJECTIVES: Pharyngocutaneous fistula is a common serious complication following laryngectomy and pharyngectomy. However, the etiology or predisposing factors of pharyngocutaneous fistula are still unclear. The authors investigated variable predisposing factors related to pharyngocutaneous fistula by reviewing medical records. SUBJECTS AND METHOD: Two hundred ninety six of 340 cases who had been performed laryngeal and hypopharyngeal surgery were investigated. Forty nine of 296 cases (15.6%) developed pharyngocutaneous fistula. We analyzed clinical parameters such as age, gender, primary site, radiotherapy, interval between radiotherapy and surgery, neck dissection, DM (diabetes mellitus), preoperative albumin, hemoglobin etc. RESULTS: Reconstruction on surgery and peroperative albumin concentration were statistically significant factors associated with pharyngocutaneous fistula (p<0.05). CONCLUSION: Pharyngocutaneous fistula may be preventable by correcting the predisposing factors.
Causality ; Fistula* ; Laryngectomy ; Medical Records ; Neck Dissection ; Pharyngectomy ; Radiotherapy

Good prognosis has been associated with early detection of Squamous Cell Carcinoma of the larynx. The patient’s choice for any treatment modality depends highly on the cure rate, larynx preservation rate, post-treatment voice quality, morbidity, and treatment cost.1 Regardless of which stage of disease, the choice of treatment centers mainly on the maintenance of quality of life and minimal adverse effects.
Human ; Male ; Middle Aged ; GLOTTIS ; CARCINOMA ; LARYNGECTOMY ; LARYNGOPLASTY ; OTORHINOLARYNGOLOGIC SURGICAL PROCEDURES ; SURGICAL PROCEDURES, OPERATIVE ; Hoarseness

China ; Otorhinolaryngologic Surgical Procedures

Otorhinolaryngologic Diseases ; Otorhinolaryngologic Surgical Procedures ; Periodicals as Topic

Otorhinolaryngologic Surgical Procedures ; Periodicals as Topic

China ; Otolaryngology ; Otorhinolaryngologic Surgical Procedures

Otorhinolaryngologic Surgical Procedures ; Periodicals as Topic

An 70-year-old male come for swallowing pain 5 years, turning worse 10 months. Laryngoscopy showed a tumor with rough surface at the laryngeal surface of epiglottic. Outpatient pathology: poorly differentiated carcinoma of the larynx. CT: the root of epiglottic is slightly thickened. He accepted the partial laryngectomy, tracheotomy, bilateral functional neck dissection. Pathology: atypical carcinoid of larynx.
Aged ; Carcinoid Tumor ; pathology ; Epiglottis ; pathology ; Humans ; Laryngeal Neoplasms ; pathology ; Laryngectomy ; Laryngoscopy ; Larynx ; pathology ; Male ; Neck Dissection ; Tracheotomy

Objectives: 1) To present a technique for implanting the Med-EI Combi 40+™ using a small incision with minimal access. 2) To describe the short term postsurgical outcomes in these patients. Methods: Two patients (1 child and 1 adult) underwent a novel small incision technique for implantation of the Med-EI Combi 40+™ cochlear implant device. The short term outcomes in these two patients were described and compared with previous experience using the standard implantation technique citing advantages and possible limitations. As these two patients had bilateral implantation utilizing different techniques on the two sides interesting comparisons could be made on the same individuals. Results: The preliminary experience with a novel small incision technique for the Med-EI Combi 40+™ implantation shows encouraging results in terms of healing and initial performance of these patients. Conclusion: This small incision technique may be offered to patients especially to those who wish to have bilateral implantations as this allows a less invasive approach, good cosmesis without sacrificing the safety and performance outcomes at least in the short term. (Author)
COCHLEAR IMPLANTATION SURGERY OTOLOGIC SURGICAL PROCEDURES

In order to evaluate the availability of the lateral horizontal laryngectomy and anaplasty of epiglottis to treat some patients with specific supraglottic carcinomas and hypopharyngeal carcinomas, 17 cases of laryngeal and hypopharyngeal carcinomas were retrospectively analyzed, whose tumors were located at the lateral margin of epiglottis, aryepiglottic fold, medial wall of piriform fossa and were treated by the lateral horizontal laryngectomy and anaplasty of epiglottis. The results showed that all cases took food by mouth in postoperative 9-14 days and subjected to decannulation in postoperative 9-15 days. Three cases had postoperative hoarse voice. The free-disease survival rate of 3 years was 71.4% in 14 cases followed up after the first surgical therapy, and the overall free-disease survival rate of 3 years was 85.7% after the second surgical therapy. It was concluded that the manipulations of the lateral horizontal laryngectomy and epiglottiplasty were simple. It could alleviate the postoperative symptoms of aspiration and bucking remarkably and shorten their postoperative recovery time, yet does not lower the survival rate of patients if laryngocarcinoma or hypopharyngeal carcinoma cases were properly selected.
Carcinoma, Squamous Cell/*surgery ; Epiglottis/*surgery ; Hypopharyngeal Neoplasms/surgery ; Laryngeal Neoplasms/*surgery ; Laryngectomy/*methods ; Otorhinolaryngologic Surgical Procedures/methods