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Article: The incidence and etiology of postlaryngectomy pharyngocutaneous fistulae

TitleThe incidence and etiology of postlaryngectomy pharyngocutaneous fistulae
Authors
KeywordsFistula
Laryngeal neoplasms
laryngectomy
Pharyngectomy
Pharyngocutaneous
Issue Date2001
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/38137
Citation
Head And Neck, 2001, v. 23 n. 1, p. 29-33 How to Cite?
AbstractBackground. The pharyngocutaneous fistula is troublesome complication after total laryngectomy. Despite a large number of studies, there is still disagreement on factors predisposing to this complication. Methods. A retrospective analysis of pharyngocutaneous tistulas in 133 patients in whom total laryngectomy was performed. Results. Fistulas were found in 15% of the patients. Spontaneous closure was noted in 80%. Simultaneous laryngectomy and partial pharyngectomy or neck dissection increased the risk of fistula formation. Preoperative irradiation, short interval between radiotherapy and operation, and cobalt/roentgen radiation instead of photons predispose to this complication. The fistulas appeared earlier, and the sizes of fistulas were significantly larger in patients with previous irradiation than those in patients with no preoperative irradiation. Conclusions. Postoperative pharyngocutaneous fistulas significantly increase patients' morbidity and hospital stay. Good surgical technique and postoperative treatment should be paid attention to patients with an increased risk of pharyngocutaneous fistula formation. © 2000 John Wiley & Sons, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/148240
ISSN
2015 Impact Factor: 2.76
2015 SCImago Journal Rankings: 1.233
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorKwong, DLWen_HK
dc.contributor.authorNicholls, Jen_HK
dc.contributor.authorWei, WIen_HK
dc.contributor.authorChua, DTTen_HK
dc.contributor.authorSham, JSTen_HK
dc.contributor.authorYuen, PWen_HK
dc.contributor.authorCheng, ACKen_HK
dc.contributor.authorYau, CCen_HK
dc.contributor.authorKwong, PWKen_HK
dc.contributor.authorChoy, DTKen_HK
dc.date.accessioned2012-05-29T06:11:44Z-
dc.date.available2012-05-29T06:11:44Z-
dc.date.issued2001en_HK
dc.identifier.citationHead And Neck, 2001, v. 23 n. 1, p. 29-33en_HK
dc.identifier.issn1043-3074en_HK
dc.identifier.urihttp://hdl.handle.net/10722/148240-
dc.description.abstractBackground. The pharyngocutaneous fistula is troublesome complication after total laryngectomy. Despite a large number of studies, there is still disagreement on factors predisposing to this complication. Methods. A retrospective analysis of pharyngocutaneous tistulas in 133 patients in whom total laryngectomy was performed. Results. Fistulas were found in 15% of the patients. Spontaneous closure was noted in 80%. Simultaneous laryngectomy and partial pharyngectomy or neck dissection increased the risk of fistula formation. Preoperative irradiation, short interval between radiotherapy and operation, and cobalt/roentgen radiation instead of photons predispose to this complication. The fistulas appeared earlier, and the sizes of fistulas were significantly larger in patients with previous irradiation than those in patients with no preoperative irradiation. Conclusions. Postoperative pharyngocutaneous fistulas significantly increase patients' morbidity and hospital stay. Good surgical technique and postoperative treatment should be paid attention to patients with an increased risk of pharyngocutaneous fistula formation. © 2000 John Wiley & Sons, Inc.en_HK
dc.languageengen_US
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/38137en_HK
dc.relation.ispartofHead and Necken_HK
dc.subjectFistulaen_HK
dc.subjectLaryngeal neoplasmsen_HK
dc.subjectlaryngectomyen_HK
dc.subjectPharyngectomyen_HK
dc.subjectPharyngocutaneousen_HK
dc.subject.meshCarcinoma, Squamous Cell - Radiotherapy - Surgeryen_US
dc.subject.meshCutaneous Fistula - Etiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLaryngeal Neoplasms - Radiotherapy - Surgeryen_US
dc.subject.meshLaryngectomy - Adverse Effectsen_US
dc.subject.meshMaleen_US
dc.subject.meshOral Fistula - Etiologyen_US
dc.subject.meshPharyngeal Diseases - Etiologyen_US
dc.titleThe incidence and etiology of postlaryngectomy pharyngocutaneous fistulaeen_HK
dc.typeArticleen_HK
dc.identifier.emailKwong, DLW: dlwkwong@hku.hken_HK
dc.identifier.emailNicholls, J: jmnichol@hkucc.hku.hken_HK
dc.identifier.emailWei, WI: hrmswwi@hku.hken_HK
dc.identifier.emailChua, DTT: dttchua@hkucc.hku.hken_HK
dc.identifier.authorityKwong, DLW=rp00414en_HK
dc.identifier.authorityNicholls, J=rp00364en_HK
dc.identifier.authorityWei, WI=rp00323en_HK
dc.identifier.authorityChua, DTT=rp00415en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1002/1097-0347(200101)23:1<29::AID-HED5>3.0.CO;2-Pen_HK
dc.identifier.pmid11190855-
dc.identifier.scopuseid_2-s2.0-0035168341en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0035168341&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume23en_HK
dc.identifier.issue1en_HK
dc.identifier.spage29en_HK
dc.identifier.epage33en_HK
dc.identifier.isiWOS:000166130100005-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridKwong, DLW=15744231600en_HK
dc.identifier.scopusauthoridNicholls, J=7201463077en_HK
dc.identifier.scopusauthoridWei, WI=7403321552en_HK
dc.identifier.scopusauthoridChua, DTT=7006773480en_HK
dc.identifier.scopusauthoridSham, JST=7101655565en_HK
dc.identifier.scopusauthoridYuen, PW=7103124007en_HK
dc.identifier.scopusauthoridCheng, ACK=36055097300en_HK
dc.identifier.scopusauthoridYau, CC=7007038422en_HK
dc.identifier.scopusauthoridKwong, PWK=7006992418en_HK
dc.identifier.scopusauthoridChoy, DTK=7102939127en_HK

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