CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S137
DOI: 10.1055/s-0038-1640185
Poster
Onkologie: Oncology

The role of pectoralis major myofascial flap in prevention of formation pharyngocutaneous fistula after total laryngectomy

M Tuhčić
1   University Clinical Center Sarajevo, ENT Department, Sarajevo, Bosnia-Herzegovina
,
I Šetić-Avdagić
2   University Clinical Center, ENT Department Sarajevo, ENT Department, Sarajevo, Bosnia-Herzegovina
,
M Bečirović
3   University Clinical Center, ENT Department Sarajevo, Sarajevo, Bosnia-Herzegovina
,
R Arslanagić
3   University Clinical Center, ENT Department Sarajevo, Sarajevo, Bosnia-Herzegovina
› Author Affiliations
› Further Information
Also available at
 
 

    Introduction:

    Pharyngocutaneous fistula is the most common complication after total laryngectomy and the most difficult to manage. It often causes increased morbidity, delays starting of adjuvant therapy, prolongs hospitalization, increases treatment costs and reduces quality of life. The aim of this study was to evaluate the impact of pectoralis major myofascial flap in reducing pharyngocutaneous fistula rate after total laryngectomy.

    Method:

    Clinical retrospective study on 60 patients was conducted (30 patients with primary closure without pectoralis major myofascial flap and 30 patients with primary closure with pectoralis major myofascial flap) to assess fistula rate and risk factors. Details of risk factors for pharyngocutaneous fistula were analyzed (age, gender, previous tracheoctomy, comorbidities, tumor site, pathologic staging according to TNM, performance of radical neck dissection).

    Conclusion:

    Advanced primary tumor staging and the age of patients were correlated with higher incidences of pharyngocutaneous fistula. Using of prophylactic pectoralis major myofascial flaps should reduce pharyngocutaneous fistula rate after total laryngectomy.


    #

    No conflict of interest has been declared by the author(s).

    MD, ENT Spec. Melika Tuhčić
    University Clinical Center Sarajevo, ENT Department,
    Bolnička 25, 71000,
    Sarajevo,
    Bosnia-Herzegovina   

    Publication History

    Publication Date:
    18 April 2018 (online)

    © 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

    Georg Thieme Verlag KG
    Stuttgart · New York