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[Pharyngostoma following total laryngectomy]
D Hellín Meseguer1, E Merino Gálvez, M Rosique Arias
1Servicio de O.R.L. Hospital Virgen de la Arrixaca, Murcia.
Anales Otorrinolaringologicos Ibero-Americanos
|January 1, 1992
Summary
This study compared Vicryl and Catgut sutures for pharyngo-esophageal closure in total laryngectomy patients. Vicryl sutures significantly reduced pharyngocutaneous fistula rates compared to Catgut.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Wound Healing
Background:
- Pharyngo-esophageal closure is a critical step after total laryngectomy.
- Suture material choice impacts post-operative complication rates, specifically pharyngocutaneous fistulae.
- Optimizing closure techniques is essential for patient recovery and quality of life.
Purpose of the Study:
- To compare the efficacy of Vicryl versus Catgut sutures for pharyngo-esophageal closure in total laryngectomees.
- To determine which suture material yields a lower incidence of pharyngocutaneous fistulae.
- To provide evidence-based recommendations for suture selection in laryngectomy procedures.
Main Methods:
- A prospective study involving 32 patients who underwent total laryngectomy.
- Patients' pharyngo-esophageal closures were managed using either Vicryl or Catgut sutures.
- Post-operative follow-up was conducted to monitor for the development of pharyngocutaneous fistulae.
Main Results:
- The incidence of pharyngocutaneous fistulae was 31% in the group treated with Vicryl sutures.
- The incidence of pharyngocutaneous fistulae was 61% in the group treated with Catgut sutures.
- Vicryl demonstrated a statistically significant reduction in fistula formation compared to Catgut.
Conclusions:
- Vicryl sutures are more effective than Catgut for pharyngo-esophageal closure in total laryngectomy.
- Using Vicryl sutures can significantly decrease the risk of developing pharyngocutaneous fistulae.
- This finding supports the use of Vicryl as a preferred suture material in laryngectomy surgery.