Fatores preditores de fístula salivar pós-laringectomia total

Sousa, Alexandre de Andrade; Porcaro-Salles, José Maria; Soares, João Marcos Arantes; Moraes, Gustavo Meyer de; Carvalho, Jomar Rezende; Silva, Guilherme Souza; Savassi-Rocha, Paulo Roberto

doi:10.1590/s0100-69912013000200003

Cited by 11 publications

(1 citation statement)

References 14 publications

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“…PCF rate in the present study was found as 3.2% (1/31). Zipper suture technique showed one of the lowest rate of PCF when compared to literature ( Table 2 ) [ 8 9 10 11 12 13 14 15 16 17 ]. The demographic and medical data of our cases are demonstrated in Table 1 .…”

Section: Discussionmentioning

confidence: 99%

Modified Continuous Mucosal Connell Suture for the Pharyngeal Closure After Total Laryngectomy: Zipper Suture

Haksever

Akduman

Aslan

et al. 2015

Clin Exp Otorhinolaryngol

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ObjectivesPharyngocutaneous fistula is a serious complication after total laryngectomy, and there are some risk factors stated in the literature. The surgical suture techniques are not studied so much. The aim of this study is to evaluate the effectiveness of 'modified continuous mucosal Connell suture' on the incidence of pharyngocutaneous fistula after total laryngectomy.MethodsThis is a retrospective case series study based at a tertiary center with 31 patients who underwent total laryngectomy between July 2011 and December 2013. Pharyngocutaneous fistula formation after total laryngectomy was evaluated with the patients who underwent modified continuous mucosal Connell suture for pharyngeal repair.ResultsPharyngocutaneous fistula was observed in only one patient (3.2%) who had a history of previous radiotherapy, and it was spontaneously healed within 6 days by conservative treatment.ConclusionWe defined a new suture technique for the pharyngeal repair after total laryngectomy. This technique is a simple modification of continuous mucosal Connell suture. We named it as zipper suture. It is effective in the prevention of pharyngocutaneous fistula for pharyngeal reconstruction after total laryngectomy.

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