Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

803
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
803
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

2.1K
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
2.1K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Otolaryngology-Specific Symptoms May Be Highly Observed in Patients With a History of Covid-19 Infection After Inactivated Coronavirus Vaccination.

Ear, nose, & throat journal·2021
Same author

The Educational Reliability and Viewer Interest of YouTube Videos Presenting Otoplasty Procedures.

The Journal of craniofacial surgery·2021
Same author

Laryngeal Osteoblastoma: Unusual Location in Arytenoid Cartilage.

The Journal of craniofacial surgery·2021
Same author

The Relation Between Otolaryngology-Specific Symptoms and Computed Tomography Findings in Ambulatory Care COVID-19 Patients.

Ear, nose, & throat journal·2020
Same author

The Effect of Different Dose Regimens of Tranexamic Acid in Reducing Blood Loss in Rhinoplasty: A Prospective Randomized Controlled Study.

The Journal of craniofacial surgery·2020
Same author

Comparison of Voice Quality and Cost Effectiveness of Endoscopic Cordectomy Using Microdissection Electrodes with Laser Cordectomy and Radiotherapy.

Turkish archives of otorhinolaryngology·2019

Related Experiment Video

Updated: Dec 14, 2025

Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy
04:31

Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy

Published on: August 29, 2025

357

Is It Important Which Suturing Technique Used for Pharyngeal Mucosal Closure in Total Laryngectomy? Modified

Hakan Avci1, Burak Karabulut1

  • 1Otolaryngology Department, University of Health Sciences Kartal Dr. Lütfi Kırdar Training ve Research Hospital, Istanbul, Turkey.

Ear, Nose, & Throat Journal
|July 25, 2020
PubMed
Summary

The modified continuous Connell suture technique significantly reduces pharyngocutaneous fistula (PCF) risk after total laryngectomy compared to interrupted sutures. Preoperative low albumin, low hemoglobin, and prior radiotherapy are also key risk factors for PCF development.

Keywords:
Connell suturepharyngocutaneous fistulapharyngoplastytotal laryngectomy

More Related Videos

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

14.6K
Learning Modern Laryngeal Surgery in a Dissection Laboratory
07:30

Learning Modern Laryngeal Surgery in a Dissection Laboratory

Published on: March 18, 2020

8.5K

Related Experiment Videos

Last Updated: Dec 14, 2025

Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy
04:31

Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy

Published on: August 29, 2025

357
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

14.6K
Learning Modern Laryngeal Surgery in a Dissection Laboratory
07:30

Learning Modern Laryngeal Surgery in a Dissection Laboratory

Published on: March 18, 2020

8.5K

Area of Science:

  • Otolaryngology
  • Surgical Oncology
  • Medical Devices

Background:

  • Pharyngocutaneous fistula (PCF) is a complication after total laryngectomy.
  • Suture techniques for pharyngeal closure may influence PCF development.

Purpose of the Study:

  • To investigate the correlation between pharyngeal mucosal suture techniques and PCF development post-total laryngectomy.
  • To identify other risk factors for fistula development.

Main Methods:

  • Retrospective review of 85 patients undergoing total laryngectomy.
  • Patients grouped by pharyngeal mucosal suture technique: modified continuous Connell (Group 1) vs. interrupted submucosal (Group 2).
  • Comparison of demographic, medical, and surgical records.

Main Results:

  • Overall PCF rate was 28%. Group 1 had a 16% PCF rate, while Group 2 had a 39% rate (P = .033).
  • Suture technique, preoperative albumin <3.5 g/dL, preoperative hemoglobin <12.5 g/dL, and prior radiotherapy were significant risk factors for PCF.
  • Suture technique was an independent predictive factor for PCF.

Conclusions:

  • Pharyngeal closure technique, preoperative albumin and hemoglobin levels, and prior radiotherapy are risk factors for PCF.
  • The modified continuous Connell suture is a favorable option for pharyngeal closure to minimize PCF risk.