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Pharyngoesophageal Suturing Technique May Decrease the Incidence of Pharyngocutaneous Fistula following Total
Mahmut Deniz1, Zafer Ciftci1, Erdogan Gultekin1
1Department of Otorhinolaryngology, School of Medicine, Namik Kemal University, 59100 Tekirdag, Turkey.
Surgery Research and Practice
|September 15, 2015
Summary
Pharyngocutaneous fistula (PCF) after total laryngectomy is a serious complication. Interrupted sutures for pharyngeal closure significantly increased PCF incidence, suggesting continuous sutures may be more effective in prevention.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Pharyngocutaneous fistula (PCF) is a significant complication following total laryngectomy.
- PCF can lead to increased morbidity and life-threatening complications.
Purpose of the Study:
- To review institutional experience with PCF after total laryngectomy.
- To identify risk factors impacting PCF development in patients.
Main Methods:
- Retrospective analysis of medical records for 20 patients undergoing total laryngectomy.
- Investigation of the association between proposed risk factors and PCF incidence.
Main Results:
- Primary interrupted sutures for pharyngeal closure showed a significantly higher incidence of PCF (p < 0.05).
- Diabetes mellitus showed a trend towards increased PCF, though not statistically significant (p > 0.05).
- No significant differences in PCF incidence were observed for other proposed risk factors.
Conclusions:
- Pharyngeal closure technique is the primary risk factor for PCF after total laryngectomy.
- Vertical closure using continuous Cushing type sutures may reduce PCF incidence compared to interrupted sutures.
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