Abstract：Objective To investigate the individualized treatment for the pharyngocutaneous fistula after surgery of laryngeal and hypopharyngeal cancer.Methods From January 2008 to June 2013, 48 cases of pharyngocutaneous fistula after surgery of laryngeal and hypopharyngeal cancer with different clinical characteristics and therapeutic measures were retrospectively analyzed. They were all pathologically confirmed squamous cell carcinoma, of which 28 cases of small pharyngocutaneous fistula(diameter≤1 cm), 12 cases of medium pharyngocutaneous fistula(diameter 1-2 cm) and 8 cases of large ones(diameter≥2 cm). There were 40 cases of pharyngocutaneous fistula adjacent to the trachea or larynx, and 42 cases associated with underlying diseases. Among 48 cases of different pharyngocutaneous fistula, debridement and dressing change were performed in 31 cases; the sliding flap repair in 3 cases, the bridge flap in 2 cases and the pectoralis major flap in 12 cases.Results Forty-eight cases of different pharyngocutaneous fistula were all repaired successfully. Twelve cases were repaired through the pectoralis major flap. Of which 2 cases came out partial necrosis and 1 case was necrotic mostly, but neither affected the success of pharyngocutaneous fistula repair.Conclusions Each pharyngocutaneous fistula after surgery of laryngeal and hypopharyngeal carcinoma has different clinical features because of its different location, size and the patient′s general condition. According to different conditions, using individualized comprehensive treatment measures can effectively treat pharyngocutaneous fistula.
王杨,刘业海,吴开乐,高潮兵,吴静,李亦凡,杨清,姚长玉. 喉癌下咽癌术后并发咽瘘的个体化治疗方法探讨[J]. 中华解剖与临床杂志, 2014, 19(3): 212-215.
Wang Yang, Liu Yehai, Wu Kaile, Gao Chaobing, Wu Jing, Li Yifan, Yang Qing, Yao Changyu. Individualized treatment for the pharyngocutaneous fistula after surgery of laryngeal and hypopharyngeal cancer. Chinese Journal of Anatomy and Clinics, 2014, 19(3): 212-215.
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