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01-01-2013 | Grand Rounds

Expert’s comment concerning Grand Rounds case entitled ‘‘Postoperative pharyngocutaneous fistula: treated with sternocleidomastoid flap repair and cricopharyngeus myotomy’’ (by V.A. Iyoob)

Published in: European Spine Journal | Issue 1/2013

Abstract

Great care should be taken to minimise damage to the pharynx and upper oesophagus during an anterior approach to the cervical spine. If noticed at the time of surgery primary repair should be carried out; if noticed in the postoperative period, thorough cleaning and placement of a pharyngocutaneous drain will result in spontaneous healing of the majority of fistula. For persistent fistula secondary repair is required using well-vascularised tissue.

Iyoob VA (2012) Postoperative pharyngocutaneous fistula - treated with sternocleidomastoid flap repair and cricopharyngeus myotomy. Eur Spine J; doi:10.1007/s00586-012-2451-4

Medina JE, Khafif A (2001) Early oral feeding following total laryngectomy. Laryngoscope 111:368–372PubMedCrossRef

White HN, Golden B, Sweeny L, Carroll WR, Magnuson JS, Rosenthal EL (2012) Assessment and incidence of salivary leak following laryngectomy. Laryngoscope. doi:10.1002/lary.23443

Galli J, De Corso E, Volante M, Almadori G, Paludetti G (2005) Postlaryngectomy pharyngocutaneous fistula: incidence, predisposing factors, and therapy. Otolaryngol Head Neck Surg 133:689–694PubMedCrossRef

Virtaniemi JA, Kumpulainen EJ, Hirvikoski PP, Johansson RT, Kosma VM (2001) The incidence and etiology of postlaryngectomy pharyngocutaneous fistulae. Head Neck 23:29–33CrossRef

McLean JN, Nicholas C, Duggal P, Chen A, Grist WG, Losken A, Carlson GW (2012) Surgical management of pharyngocutaneous fistula after total laryngectomy. Ann Plast Surg 68:442–445PubMedCrossRef

Liu HL, Chan JY, Wei WI (2010) The changing role of pectoralis major flap in head and neck reconstruction. Eur Arch Otorhinolaryngol 267:1759–1763PubMedCrossRef

Bohannon IA, Carroll WR, Magnuson JS, Rosenthal EL (2011) Closure of post-laryngectomy pharyngocutaneous fistulae. Head Neck Oncol 3:29PubMedCrossRef

Scott PM, Bleach NR, Perry AR, Cheesman AD (1993) Complications of pharyngeal myotomy for alaryngeal voice rehabilitation. J Laryngol Otol 107:430–433PubMedCrossRef

Title: Expert’s comment concerning Grand Rounds case entitled ‘‘Postoperative pharyngocutaneous fistula: treated with sternocleidomastoid flap repair and cricopharyngeus myotomy’’ (by V.A. Iyoob)
Publication date: 01-01-2013
Published in: European Spine Journal / Issue 1/2013
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-012-2453-2

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Expert’s comment concerning Grand Rounds case entitled ‘‘Postoperative pharyngocutaneous fistula: treated with sternocleidomastoid flap repair and cricopharyngeus myotomy’’ (by V.A. Iyoob)

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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