Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure.

Autor:	Montemayor-Alatorre A; Otolaryngology and Head and Neck Surgery Division, School of Medicine and University Hospital 'Dr. Jose E. González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo Leon, Mexico., Serna-Vazquez RP; Otolaryngology and Head and Neck Surgery Division, School of Medicine and University Hospital 'Dr. Jose E. González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo Leon, Mexico., Santos-Santillana KM; Otolaryngology and Head and Neck Surgery Division, School of Medicine and University Hospital 'Dr. Jose E. González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo Leon, Mexico., Morales-Del Ángel JA; Otolaryngology and Head and Neck Surgery Division, School of Medicine and University Hospital 'Dr. Jose E. González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo Leon, Mexico., Córtes-Ponce JR; Otolaryngology and Head and Neck Surgery Division, School of Medicine and University Hospital 'Dr. Jose E. González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo Leon, Mexico., Treviño-González JL; Otolaryngology and Head and Neck Surgery Division, School of Medicine and University Hospital 'Dr. Jose E. González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo Leon, Mexico.
Jazyk:	angličtina
Zdroj:	Cirugia y cirujanos [Cir Cir] 2024 Mar 19; Vol. 92 (5), pp. 655-659. Date of Electronic Publication: 2024 Mar 19.
DOI:	10.24875/CIRU.22000324
Abstrakt:	Objective: The objective of this study was to compare the outcomes vertical and T-shaped pharyngoplasty closure techniques after total laryngectomy (TL) and to evaluate the factors associated with the development of pharyngocutaneous fistula. Materials and Methods: We performed a retrospective study that included patients with a histopathological diagnosis of laryngeal cancer that underwent TL between 2009 and 2021. Results: Fifty-seven patients were included in the study. A total of 14 patients underwent a vertical closure of the neopharynx (24.6%), while 43 patients underwent a T-shaped closure (74.4%). Pharyngocutaneous fistula was the most common complication, observed in 40.4% of cases (n = 23). No difference in the rate of complications was observed between groups, with the exception of tracheal dehiscence which was reduced in patients with T-shaped closure (n = 2, 4.7% vs. n = 5, 35.7%, p = 0.002). Diabetes mellitus was more frequently observed in patients withthe development of pharyngocutaneous fistula (n = 7, 30.4% vs. n = 3, 8.8%, p = 0.03). Conclusions: Although complicationswere lower in the T-shaped closure group, we could not establish the superiority of either technique.
Databáze:	MEDLINE
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