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.
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