gms | German Medical Science

88th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

24.05. - 27.05.2017, Erfurt

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Pharyngocutaneous fistula after total laryngectomy: evaluating the role of functional lumen examination

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  • corresponding author Blagovesta Todorova - Medical University Prof. Dr. P. Stoyanov - Varna, Varna, Bulgaria
  • Nikolay Sapundzhiev - Medical University Prof. Dr. P. Stoyanov - Varna, Varna, Bulgaria
  • Darina Ivanova - Medical University Prof. Dr. P. Stoyanov - Varna, Varna, Bulgaria
  • Boyan Balev - Medical University Prof. Dr. P. Stoyanov - Varna, Varna, Bulgaria
  • Petar Petrov - Medical University Prof. Dr. P. Stoyanov - Varna, Varna, Bulgaria

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 88. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Erfurt, 24.-27.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc17hno203

doi: 10.3205/17hno203, urn:nbn:de:0183-17hno2037

Published: April 13, 2017

© 2017 Todorova et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

One of the most frequent and troublesome complication following laryngectomy is pharyngocutaneus fistula (PCF). It leads to prolonged healing process and increased morbidity.

The aim of this study is to evaluate the effect of functional oral-pharyngo-esophageal lumen examination as clinical, non-invasive procedure to establish PCF.

The charts of 92 patients, treated for carcinoma of the larynx with laryngectomy at MBAL “Sv. Marina” between july 2007 and december 2014 (86 males, 6 females, aged 61.9 +/- 8.2 years; T4=39, T3=53; N0=71 and N+ =21) were evaluated retrospectively. Two types of functional lumen examination are used in the pharyngo-esophageal segment after laryngectomy: methylene blue and water soluble contrast.

Functional lumen examination provides the possibility to identify presence, size, location of the PCF and also to monitor the healing process.

Those functional lumen examinations provide important information about the healing of the esophageal plasty and give the opportunity to decide whether to leave the nasogastric tube in place or to remove it.

This type pharyngo-esophageal segment examination could be established in the early postoperative period and to precisely determine when to start the oral feeding.

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