Management of Pharyngocutaneous Fistula Following Laryngectomy

Korean Journal of Head & Neck Oncology 1995;11(2):167-172.
Published online November 30, 1995.

Hun Ki Min;Soon Young Kwon;Kwang Yoon Jung;Jong Ouck Choi

후두적출술 후 발생한 인두피부누공의 치료 경험

민헌기;권순영;정광윤;최종욱

Abstract

Pharyngocutaneous fistula(PCF) is one of the complications following total laryngectomy in laryngeal and hypopharyngeal cancer. Fistula lead to delayed wound healing, more serious complications such as carotid blow-out, prolonged hospitalization, significant patient morbidity and occasional mortality. Identification of patients at high risk for fistula formation, appropriate preventive measures, and appropriate management are the head and neck surgeon's responsibility. So we analyzed the clinical data of pharyngocutaneous fistula which was developed after total laryngectomy. Following results were obtained: 1) Occurrence of PCF increases with salvage surgery compared to curative surgery. 2) Early detection and effective management of PCF are the key factors to decreasing the hospitalization period. 3) Constructing a pharyngostoma seems to be an ideal method of preventing dangerous complications and ultimately closing the fistula. 4) Simultaneous reconstruction is necessary in the high risk group.

Key Words: Pharyngocutaneous fistula, Laryngectomy, Pharyngostoma