Hinge flaps are commonly used for closure of a pharyngocutaneous fistula (PCF) or laryngocutaneous fistula. These flaps are employed to augment the wall of the pharynx or larynx, but the junction between the reconstructed and native lumens can eventually become narrow and irregular after reconstruction with standard hinge flaps. We devised a method of adding a triangular extension to the end of...

introduction: pharyngocutaneous fistula (pcf) is the most common complication after total laryngectomy. its incidence is extremely variable, with values ranging from 3% and 65%. the management of this problem considerably increases the length and the cost of hospitalization.  the aim of this study is to analyze the incidence, predisposing factors, and outcome of pcf in patients undergoing total...

BACKGROUND Pharyngocutaneous fistula (PCF) is the most common surgical complication after total laryngectomy. Controversy still remains regarding the multiple risk factors implicated. The purpose of this study was to evaluate the potential risk factors for PCF. METHODS The strategy for our literature survey included research in MEDLINE up to December 2013. The risk factors analyzed were age, ...

OBJECTIVE To describe a novel method for the removal of the salivary bypass tube (SBT) that precludes the need for extraction under general anesthesia. STUDY DESIGN Retrospective case series. METHODS/TECHNIQUE Patients who had undergone laryngectomy/laryngopharyngectomy with subsequent development of pharyngocutaneous fistula and intraoperative placement of a salivary bypass tube were inclu...

Pharyngocutaneous (PC) fistula is a common complication following laryngectomy. It leads to increased morbidity, delay in adjuvant treatment, prolonged hospitalization and an increase in treatment costs. Although a number of factors that result in PC fistula have been described, there is still no agreement on the most significant factors. We undertook a prospective study to critically analyze P...