OBJECTIVE To assess the utility of the pectoralis major muscle flap (PMMF) in patients undergoing salvage total laryngectomy. DESIGN Retrospective cohort analysis. SETTING Tertiary care cancer center. PATIENTS The study included 461 patients who underwent laryngectomy. Eighty of them underwent salvage surgery with primary pharyngeal closure. INTERVENTIONS Of the 80 patients, 69 (86%) un...

Objective: To find out various complications after total laryngectomy, with reference to their presentation, diagnosis, and management. Design: It was a prospective descriptive study. Setting: Otolaryngology, Head and Neck Surgery department, Pakistan Institute of Medical Sciences Islamabad, from 1st July 1999 to 31st June 2001. Patients and Methods: 25 patients undergoing total laryngectomy fo...

The use of a stapler for pharyngeal closure during total laryngectomy was first described in 1971. It provides rapid watertight closure without surgical field contamination. The objective of our study was to compare the incidence of pharyngocutaneous fistula after total laryngectomy with manual and mechanical closures of the pharynx. This was a non-randomised, prospective clinical study conduct...

IMPORTANCE No consensus exists as to the best technique, or techniques, to optimize wound healing, decrease pharyngocutaneous fistula formation, and shorten both hospital length of stay and time to initiation of oral intake after salvage laryngectomy. We sought to combine the recent experience of multiple high-volume institutions, with different reconstructive preferences, in the management of ...

BACKGROUND The literature is scarce regarding transoral robotic surgery (TORS) with simultaneous neck dissection. This study evaluates the safety and efficacy of concurrent neck dissection in oropharyngeal squamous cell carcinoma (SCC) treated with TORS. METHODS Analysis of 113 patients with oropharyngeal SCC treated with TORS and concurrent neck dissection. RESULTS Six intraoperative commu...

UNLABELLED Pharyngocutaneous fistula (PCF) is the most common complication after total laryngectomy. OBJECTIVES To establish the incidence of this complication and to analyze the predisposing factors. METHOD This is a cross-sectional study of a historical cohort including 94 patients who underwent total laryngectomy. The following aspects were correlated to the occurrence of PCF: gender, ag...

Postoperative pharyngocutaneous fistula after head and neck surgery is a devasting complication that increases hospitalization time delays the initiation of oral intake postoperative adjuvant therapy. Although it commonly experienced, treatment strategy differs greatly according to size site preference surgeon, standard therapy remains be established.

Introduction: Submandibular gland excision is the gold standard treatment for submandibular gland disease. Although submandibulectomy is a relatively standardized surgical procedure, complications are frequently reported. These complications include nerve paralysis or paresis, aesthetic sequelae, hematoma, salivary fistulas or sialoceles, wound infections, hypertrophic scars and inflammations c...