A prospective study of pharyngocutaneous fistulas following total laryngectomy.

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dc.contributor.authorQureshi, S Sen_US
dc.contributor.authorChaturvedi, Pen_US
dc.contributor.authorPai, P Sen_US
dc.contributor.authorChaukar, D Aen_US
dc.contributor.authorDeshpande, M Sen_US
dc.contributor.authorPathak, K Aen_US
dc.contributor.authorD'cruz, A Ken_US
dc.date.accessioned2005-01-14en_US
dc.date.accessioned2009-06-01T16:14:36Z
dc.date.available2005-01-14en_US
dc.date.available2009-06-01T16:14:36Z
dc.date.issued2005-01-14en_US
dc.description.abstractPharyngocutaneous (PC) fistula is a common complication following laryngectomy. It leads to increased morbidity, delay in adjuvant treatment, prolonged hospitalization and an increase in treatment costs. Although a number of factors that result in PC fistula have been described, there is still no agreement on the most significant factors. We undertook a prospective study to critically analyze PC fistula and its association with various tumors, patient and treatment related factors. This was a prospective study that included 143 patients who underwent laryngeal surgery for squamous cell carcinoma of the larynx and pyriform sinus. Use of pectoralis major myocutaneous flap to reconstruct the neopharynx, primary disease in pyriform and extensive soft tissue infiltration were significantly associated with PC fistula. Prior treatment (radiotherapy and chemotherapy), type of closure (T closure, Y closure and vertical closure), Layers of closure (full thickness interrupted, submucosal interrupted, submucosal continuous) type of suture material (silk, vicryl ), age, sex, stage, preoperative tracheostomy, cut margin status, pre/postoperative hemoglobin and experience of surgeons did not relate significantly.en_US
dc.description.affiliationDepartment of Surgery, Head and Neck Surgical Service, Tata Memorial Hospital, Mumbai, India.en_US
dc.identifier.citationQureshi SS, Chaturvedi P, Pai PS, Chaukar DA, Deshpande MS, Pathak KA, D'cruz AK. A prospective study of pharyngocutaneous fistulas following total laryngectomy. Journal of Cancer Research and Therapeutics. 2005 Jan-Mar; 1(1): 51-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/111410
dc.language.isoengen_US
dc.source.urihttps://www.cancerjournal.neten_US
dc.subject.meshFistulaen_US
dc.subject.meshHumansen_US
dc.subject.meshLaryngectomy --adverse effectsen_US
dc.subject.meshPharynxen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshSkinen_US
dc.titleA prospective study of pharyngocutaneous fistulas following total laryngectomy.en_US
dc.typeJournal Articleen_US
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