Usefulness of Endoluminal Vacuum-Assisted Closure Therapy for Pharyngocutaneous Fistula
10.3342/kjorl-hns.2023.00864
- Author:
Hyeong Beom LEE
1
;
Gun Ju KIM
;
Juwon HWANG
;
Joon Kyoo LEE
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School Hwasun Hospital, Chonnam National University Medical School, Hwasun, Korea
- Publication Type:Case Report
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2024;67(4):245-250
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pharyngocutaneous fistula (PCF) is a communication created between the pharynx and skin of the neck associated with flap reconstruction or primary closure of a pharyngeal defect. In patients who underwent laryngectomy and pharyngectomy, salivary accumulation in the deep neck space through the pharyngeal dehiscence can cause life-threatening complications, among which is carotid artery blow-out. Broad-spectrum antibiotics, compressive dressing, and artificial nutrition are usually applied first. Many closing methods have been studied, both surgically (direct repair or using flaps) and non-surgically (negative pressure therapy, hyperbaric oxygen therapy, or botulinum toxin injection). The use of a vacuum-assisted closure system placed endoluminally or externally has been recently reported to treat any leaks in the upper gastrointestinal tract. Here, we report a successfully-treated PCF using the endoluminal vacuum-assisted closure system.
