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Laryngectomy With or Without Partial Pharyngectomy: A Systematic Review.

M B Bharathi1, Rajendra Prasad Janga2, B S Rakesh1

  • 11Department of ENT, JSS Hospital and University, Mysuru, India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 20, 2019
PubMed
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Total laryngectomy for head and neck cancers can lead to complications like wound infection and pharyngocutaneous fistula. Early recognition and improved surgical techniques are key to reducing these risks.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Surgical Oncology

Background:

  • Total laryngectomy with or without pharyngectomy and neck dissection is a common treatment for laryngeal and pyriform fossa malignancies.
  • Postoperative complications can significantly impact patient outcomes, increasing morbidity, hospital stay, and costs.

Purpose of the Study:

  • To prospectively identify, analyze, and discuss the presentation, diagnosis, and management of complications following total laryngectomy.
  • To determine the incidence and types of complications in patients undergoing this procedure.

Main Methods:

  • A prospective study involving 30 patients undergoing total laryngectomy with or without partial pharyngectomy for laryngeal and pyriform fossa malignancies.
  • Data collection on patient demographics, surgical procedures, and postoperative complications.
Keywords:
Laryngeal cancerLaryngectomyPartial pharyngectomyPharyngocutaneous fistula

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Main Results:

  • Six out of 30 patients (20%) developed complications.
  • The most frequent complications were pharyngocutaneous fistula (6%) and wound infection (6%).
  • Other complications included drain failure (3%) and chylous fistula (3%).

Conclusions:

  • Wound infection and pharyngocutaneous fistula are the most common complications after total laryngectomy with or without pharyngectomy and neck dissection.
  • Assessing risk factors, early detection, and implementing improved surgical techniques are crucial for minimizing complication rates.