Pharyngocutaneous Fistula as a Complication of Total Laryngectomy: Review of the Literature and Analysis of Case Records
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- Andrea L Cavalot
- Second ENT Clinic University of Turin Turin Italy
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- Carmine‐Fernando Gervasio
- Second ENT Clinic University of Turin Turin Italy
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- Giuseppe Nazionale
- Second ENT Clinic University of Turin Turin Italy
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- Roberto Albera
- Second ENT Clinic University of Turin Turin Italy
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- Mario Bussi
- Second ENT Clinic University of Turin Turin Italy
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- Alberto Staffieri
- Second ENT Clinic University of Turin Turin Italy
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- V. Ferrero
- Second ENT Clinic University of Turin Turin Italy
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- G. Cortesina
- Second ENT Clinic University of Turin Turin Italy
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説明
<jats:p>Pharyngocutaneous fistula is the most common complication of total laryngectomy. The management of this problem increases hospitalization time and delays initiation of postoperative radiotherapy, where indicated. To identify factors predisposing to the development of pharyngocutaneous fistula, we reviewed the postoperative courses of 293 patients who underwent total laryngectomy at our clinic. General factors taken into account were concurrent diseases such as diabetes, liver diseases, or chronic anemia; local factors included radiotherapy before and after surgery, preoperative tracheostomy, type of cervical lymph node removal, and method of pharyngeal closure. We then compared our data with those reported in the literature by other authors. Last, we applied the Fisher exact test to a correlation we found between the higher incidence of fistula in patients with diabetes, liver diseases, or anemia. The local factor that turned out to be statistically most significant for the development of fistula was preoperative radiotherapy.</jats:p>
収録刊行物
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- Otolaryngology–Head and Neck Surgery
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Otolaryngology–Head and Neck Surgery 123 (5), 587-592, 2000-11
Wiley
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詳細情報 詳細情報について
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- CRID
- 1360292619969502592
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- NII論文ID
- 30017098713
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- ISSN
- 10976817
- 01945998
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- データソース種別
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