2012
DOI: 10.1590/s1808-86942012000400019
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Laringectomia de resgate: utilização do retalho miocutâneo de peitoral maior na prevenção de fístula faringocutânea

Abstract: Salvage laryngectomy in patients treated with organ preservation protocols is associated with high rates of postoperative complications. The use of non-irradiated tissue flaps in pharyngeal reconstruction could reduce the incidence of these complications. Objective : This study aims to evaluate the usefulness of the pectoralis major myocutaneous flap in preventing salivary fistulae during the postoperative period of salvage total laryngectomy (TL). Materials and Method … Show more

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Cited by 28 publications
(2 citation statements)
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“…El cierre espontáneo ocurre en la mayoría de los casos de FFC, no así en los faringostomas que requieren reparación quirúrgica (2,9,18,37). Estas cirugías son consideradas contaminadas debido a que la saliva es un caldo de cultivo para el desarrollo bacteriano (22,25).…”
Section: Discusionunclassified
“…El cierre espontáneo ocurre en la mayoría de los casos de FFC, no así en los faringostomas que requieren reparación quirúrgica (2,9,18,37). Estas cirugías son consideradas contaminadas debido a que la saliva es un caldo de cultivo para el desarrollo bacteriano (22,25).…”
Section: Discusionunclassified
“…Pharyngocutaneous fistula (PCF) is more often seen in salvage laryngectomy than with primary laryngectomy due to radiation damage to the microvascular structure, causing delayed wound healing [5,6]. Several different types of techniques and methods have been used to prevent PCF such as pectoralis major myocutaneous (PMMC) flap and pedicle free flaps [7,8].…”
Section: Introductionmentioning
confidence: 99%