BACKGROUND Pharyngocutaneous fistula (PCF) is a problematic complication following total laryngectomy. Disagreement remains regarding predisposing factors. This study examines perioperative factors predicting PCF following total laryngectomy using a large multicenter data registry. METHODS Retrospective cohort analysis was performed using patients undergoing total laryngectomy in the ACS-NSQI...

The standard treatment for advanced laryngeal cancer is total laryngectomy and chemoradiotherapy, but measures against adverse events vary. Complications such as pharyngocutaneous fistula after can be prevented to some extent by the preoperative intraoperative efforts of otolaryngologist, it necessary improve skills surgical techniques. incidence fistulas at our facility was 20.3% (53/261) over...

Introduction: The pectoralis major flap was initially described by Ariyan in the 1970s. It has high acceptance due to its versatility for head and neck cancer reconstruction. Methods: This flap was used for the reconstruction of 46 patients with head and neck cancer, as following: mouth/tongue reconstruction (24); pharyngoesophageal transit reconstruction (11); repair of cervical skin loss (4);...

BACKGROUND Pharyngocutaneous fistula (PCF) is a common and challenging complication of laryngectomy. The purpose of this study was to evaluate the results of endoscopic repair of postlaryngectomy PCF. METHODS Five patients who underwent salvage laryngectomy complicated by PCF underwent endoscopic repair at a regional medical center between 2006 and 2013. Data were compiled through a manual ch...

BACKGROUND In patients with extensive soft tissue fibrosis requiring circumferential pharyngeal reconstruction following definitive radiotherapy and/or chemotherapy, we take advantage of abundant omental progenitor factors in the tubed gastro-omental free flap. This study reviews our experience with this flap. METHODS Review of 11 patients (median follow-up, 2.8 years) undergoing total pharyn...