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  1. Home
  3. Risk Factors For Pharyngocutaneous Fistula Formation: A Study Focused On Pharyngeal Reconstruction Technique.
  1. Home
  3. Risk Factors For Pharyngocutaneous Fistula Formation: A Study Focused On Pharyngeal Reconstruction Technique.

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Risk factors for pharyngocutaneous fistula formation: a study focused on pharyngeal reconstruction technique.

Yagmur Barcan1, Yalcin Alimoglu2, Gokhan Gurbuz3

  • 1Health Sciences University Haseki Training and Research Hospital, Department of Otorhinolaryngology, Istanbul, Turkey.

The Journal of Laryngology and Otology
|October 21, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Pharyngeal reconstruction with simple interrupted sutures and radical neck dissection are key risk factors for pharyngocutaneous fistula after total laryngectomy. The modified Cushing suture technique is recommended to reduce fistula rates.

Keywords:
laryngectomylarynx cancerpharyngocutaneous fistulasuture techniques

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Area of Science:

  • Otolaryngology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Pharyngocutaneous fistula is a common complication after total laryngectomy.
  • Identifying risk factors is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate independent risk factors for pharyngocutaneous fistula development following total laryngectomy and bilateral neck dissection.

Main Methods:

  • Retrospective analysis of 164 patients undergoing total laryngectomy and bilateral neck dissection (2009-2021).
  • Exclusion criteria included hypopharyngeal involvement, pharyngectomy, base of tongue resection, flap reconstruction, or salvage surgery.
  • Multivariate regression analysis was used to identify predictors of fistula formation.

Main Results:

  • Pharyngeal reconstruction with simple interrupted sutures was associated with increased fistula risk (OR: 3.12, p=0.010).
  • Radical neck dissection was also an independent predictor of pharyngocutaneous fistula (OR: 3.16, p=0.028).

Conclusions:

  • Simple interrupted sutures for pharyngeal closure and radical neck dissection are significant risk factors for pharyngocutaneous fistula.
  • The modified Cushing suture technique is recommended over simple interrupted sutures to decrease fistula rates.