AI Article Synopsis
- The study aimed to compare two surgical techniques (vertical vs. T-shaped pharyngoplasty) after total laryngectomy and assess factors leading to pharyngocutaneous fistula.
- A total of 57 patients were analyzed, with 14 receiving vertical closures and 43 getting T-shaped closures, revealing that pharyngocutaneous fistula was a common complication in 40.4% of cases.
- Results indicated no significant overall difference in complications between the two techniques, but the T-shaped closure showed a significantly lower rate of tracheal dehiscence, and diabetes was linked to a higher occurrence of fistulas.
Article Abstract
Objective: The objective of this study was to compare the outcomes vertical and T-shaped pharyngoplasty closure techniques after total laryngectomy (TL) and to evaluate the factors associated with the development of pharyngocutaneous fistula.
Materials And Methods: We performed a retrospective study that included patients with a histopathological diagnosis of laryngeal cancer that underwent TL between 2009 and 2021.
Results: Fifty-seven patients were included in the study. A total of 14 patients underwent a vertical closure of the neopharynx (24.6%), while 43 patients underwent a T-shaped closure (74.4%). Pharyngocutaneous fistula was the most common complication, observed in 40.4% of cases (n = 23). No difference in the rate of complications was observed between groups, with the exception of tracheal dehiscence which was reduced in patients with T-shaped closure (n = 2, 4.7% vs. n = 5, 35.7%, p = 0.002). Diabetes mellitus was more frequently observed in patients withthe development of pharyngocutaneous fistula (n = 7, 30.4% vs. n = 3, 8.8%, p = 0.03).
Conclusions: Although complicationswere lower in the T-shaped closure group, we could not establish the superiority of either technique.
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| http://dx.doi.org/10.24875/CIRU.22000324 | DOI Listing |
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Article Synopsis
- The study aimed to compare two surgical techniques (vertical vs. T-shaped pharyngoplasty) after total laryngectomy and assess factors leading to pharyngocutaneous fistula.
- A total of 57 patients were analyzed, with 14 receiving vertical closures and 43 getting T-shaped closures, revealing that pharyngocutaneous fistula was a common complication in 40.4% of cases.
- Results indicated no significant overall difference in complications between the two techniques, but the T-shaped closure showed a significantly lower rate of tracheal dehiscence, and diabetes was linked to a higher occurrence of fistulas.
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