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Article: Primary closure of pharyngeal remnant after total laryngectomy and partial pharyngectomy: How much residual mucosa is sufficient?

TitlePrimary closure of pharyngeal remnant after total laryngectomy and partial pharyngectomy: How much residual mucosa is sufficient?
Authors
Issue Date1996
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www.laryngoscope.com/
Citation
Laryngoscope, 1996, v. 106 n. 4, p. 490-494 How to Cite?
AbstractAfter total laryngectomy with or without partial pharyngectomy, the remaining pharyngeal defect can be repaired either by primary closure or with additional tissue, depending on the amount of pharyngeal tissue remnant available. The aim of this study was to determine the minimum width of the pharyngeal remnant that could be safely closed primarily without causing difficulty in swallowing. A total of 52 consecutive patients who underwent total laryngectomy were entered into the study. The relaxed and stretched widths of the pharyngeal remnant were measured after removal of the specimen. The widths of the pharyngeal mucosa ranged from 1.5 to 5.0 cm relaxed (mean, 3.24 cm) and from 2.5 to 8.0 cm stretched (mean, 4.83 cm). All neopharynx was reconstructed by closing the pharynx primarily. Seven of the 52 patients developed recurrent tumor with concomitant dysphagia. Two of the 45 patients without recurrence presented with acute dysphagia from food bolus obstruction, and 1 patient developed benign inflammatory stricture following an episode of fish-bone impaction. The narrowest widths of the pharyngeal remnant in this group of 45 were 1.5 cm relaxed and 2.5 cm stretched. As these patients do not have swallowing difficulty, we conclude that in the absence of tumor recurrence, this amount of residual pharyngeal tissue is sufficient both for primary closure of the pharynx and in restoring swallowing function.
Persistent Identifierhttp://hdl.handle.net/10722/172725
ISSN
2015 Impact Factor: 2.272
2015 SCImago Journal Rankings: 1.342
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHui, Yen_US
dc.contributor.authorWei, WIen_US
dc.contributor.authorYuen, PWen_US
dc.contributor.authorLam, LKen_US
dc.contributor.authorHo, WKen_US
dc.date.accessioned2012-10-30T06:24:30Z-
dc.date.available2012-10-30T06:24:30Z-
dc.date.issued1996en_US
dc.identifier.citationLaryngoscope, 1996, v. 106 n. 4, p. 490-494en_US
dc.identifier.issn0023-852Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/172725-
dc.description.abstractAfter total laryngectomy with or without partial pharyngectomy, the remaining pharyngeal defect can be repaired either by primary closure or with additional tissue, depending on the amount of pharyngeal tissue remnant available. The aim of this study was to determine the minimum width of the pharyngeal remnant that could be safely closed primarily without causing difficulty in swallowing. A total of 52 consecutive patients who underwent total laryngectomy were entered into the study. The relaxed and stretched widths of the pharyngeal remnant were measured after removal of the specimen. The widths of the pharyngeal mucosa ranged from 1.5 to 5.0 cm relaxed (mean, 3.24 cm) and from 2.5 to 8.0 cm stretched (mean, 4.83 cm). All neopharynx was reconstructed by closing the pharynx primarily. Seven of the 52 patients developed recurrent tumor with concomitant dysphagia. Two of the 45 patients without recurrence presented with acute dysphagia from food bolus obstruction, and 1 patient developed benign inflammatory stricture following an episode of fish-bone impaction. The narrowest widths of the pharyngeal remnant in this group of 45 were 1.5 cm relaxed and 2.5 cm stretched. As these patients do not have swallowing difficulty, we conclude that in the absence of tumor recurrence, this amount of residual pharyngeal tissue is sufficient both for primary closure of the pharynx and in restoring swallowing function.en_US
dc.languageengen_US
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www.laryngoscope.com/en_US
dc.relation.ispartofLaryngoscopeen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshDeglutitionen_US
dc.subject.meshDeglutition Disorders - Epidemiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshLaryngeal Neoplasms - Surgeryen_US
dc.subject.meshLaryngectomy - Methodsen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMucous Membrane - Pathology - Surgeryen_US
dc.subject.meshNeoplasm Recurrence, Local - Epidemiologyen_US
dc.subject.meshPharyngectomy - Methodsen_US
dc.subject.meshPharynx - Pathology - Physiopathology - Surgeryen_US
dc.subject.meshPostoperative Complications - Epidemiologyen_US
dc.titlePrimary closure of pharyngeal remnant after total laryngectomy and partial pharyngectomy: How much residual mucosa is sufficient?en_US
dc.typeArticleen_US
dc.identifier.emailWei, WI: hrmswwi@hku.hken_US
dc.identifier.authorityWei, WI=rp00323en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/00005537-199604000-00018en_US
dc.identifier.pmid8614227-
dc.identifier.scopuseid_2-s2.0-0029996351en_US
dc.identifier.hkuros28269-
dc.identifier.hkuros15360-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0029996351&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume106en_US
dc.identifier.issue4en_US
dc.identifier.spage490en_US
dc.identifier.epage494en_US
dc.identifier.isiWOS:A1996UM98000033-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridHui, Y=7103107552en_US
dc.identifier.scopusauthoridWei, WI=7403321552en_US
dc.identifier.scopusauthoridYuen, PW=7103124007en_US
dc.identifier.scopusauthoridLam, LK=7201984637en_US
dc.identifier.scopusauthoridHo, WK=7402968844en_US

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