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Learning Modern Laryngeal Surgery in a Dissection Laboratory
Published on: March 18, 2020
Delayed Pharyngocutaneous Fistula After Total Laryngectomy Caused by an Anterior Cervical Spine plate
Eun Kyung Jung1, Dong Eun Lee, Joon Kyoo Lee
1Department of Otolaryngology-Head and Neck Surgery, Chonnam National University, Hwasun Hospital, Hwasun, Korea.
Abstract:
Pharyngocutaneous fistula (PCF) caused by a previous anterior cervical spine fixation plate more than a decade ago has not been reported yet. A 70-year-old man with dysphagia was diagnosed as supraglottic cancer. After partial laryngectomy and concurrent chemoradiation, due to increasing arytenoid lesion, total laryngectomy was followed. Pharyngocutaneous fistula occurred but resolved spontaneously. However, retropharyngeal granulation tissue emerging from the anterior cervical spine fixation plate caused delayed PCF. Dysphagia and PCF resolved after fixation plate removal.
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