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Complications following laryngectomy.

L J Shemen, R H Spiro

    Head & Neck Surgery
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Complications after laryngectomy surgery were reviewed. Extended laryngectomy had higher complication and fistula rates, influenced by surgical extent and reconstruction method, with improved outcomes using myocutaneous flaps and gastric transposition.

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    Area of Science:

    • Otolaryngology
    • Surgical Oncology
    • Head and Neck Surgery

    Background:

    • Laryngectomy is a surgical procedure for laryngeal cancer.
    • Complications can significantly impact patient outcomes.
    • Reconstruction techniques vary and influence complication rates.

    Purpose of the Study:

    • To review complications following laryngectomies.
    • To analyze complication and fistula rates based on laryngectomy type and reconstruction.
    • To compare outcomes with previous surgical methods.

    Main Methods:

    • Retrospective review of 100 consecutive laryngectomies.
    • Categorization by total and extended laryngectomy.
    • Analysis of reconstruction methods: primary closure, pectoralis major myocutaneous flap, gastric transposition.

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    Main Results:

    • Overall complication rates: 19% for total laryngectomy, 49% for extended laryngectomy.
    • Fistula rates: 8% for total laryngectomy, 27% for extended laryngectomy.
    • Extended laryngectomy complication rates decreased with myocutaneous flaps and gastric transposition compared to deltopectoral flaps.

    Conclusions:

    • Surgical extent and reconstruction type significantly influence laryngectomy complications.
    • Pectoralis major myocutaneous flaps and gastric transposition are effective for pharyngeal repair.
    • Experience and technique advancements have reduced fistula rates in extended laryngectomy.