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Published in: European Archives of Oto-Rhino-Laryngology 11/2016

01-11-2016 | Head and Neck

Hyperbaric oxygen therapy as an alternative to surgery for non-healing pharyngocutaneous fistula

Authors: Rani Abu Eta, Ephraim Eviatar, Haim Gavriel

Published in: European Archives of Oto-Rhino-Laryngology | Issue 11/2016

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Abstract

The aim of the study is to examine the utilization of hyperbaric oxygen treatment (HBOT) as an alternative to surgical treatment for non-healing postoperative phayngocutaneous fistula (POPCF). A retrospective study was conducted between 2012 and 2014 of referred patients who had failed conservative treatment for POPCF at other medical centers. Reevaluation at our department was followed by therapeutic management including daily HBOT. Eight male patients with a mean age of 62.3 years were included. The average period of conservative treatment was 1 month before admittance to our department. All patients were managed with HBOT and local debridement. Closure of the POPCF was proved by a barium swallow test in seven patients (87.5 %). HBOT is recommended for patients who have failed conservative treatment for POPCF post-laryngectomy, due to a high rate of successful (87.5 %) closure and should be considered as an alternative to surgical treatment.
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Metadata
Title
Hyperbaric oxygen therapy as an alternative to surgery for non-healing pharyngocutaneous fistula
Authors
Rani Abu Eta
Ephraim Eviatar
Haim Gavriel
Publication date
01-11-2016
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 11/2016
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-016-4002-9

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