Fistulae following laryngectomy in patients treated with irradiation
| Autor: | Ketil Natvig, Johan Tausjø, Morten Boysen |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty Fistula Cutaneous Fistula medicine.medical_treatment Laryngectomy Risk Factors medicine Humans In patient Risk factor Laryngeal Neoplasms Aged Aged 80 and over Hypopharyngeal Neoplasms Radiotherapy business.industry Incidence (epidemiology) Radiation dose Radiotherapy Dosage Pharyngeal Diseases General Medicine Middle Aged medicine.disease Combined Modality Therapy Surgery Radiation therapy Otorhinolaryngology Female Complication business |
| Zdroj: | The Journal of Laryngology & Otology. 107:1136-1139 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s0022215100125484 |
| Popis: | The development of fistulae following 197 consecutive laryngectomies performed from 1980 to 1987 have been examined. Fistulae were present in 28 patients (14 per cent). Age, T-classification, daily level of radiation dose and the time lapse between diagnosis and operation did not seem to influence the rate of fistula development. The study indicates that there is a two to three per cent risk of fistula development when a primary laryngectomy is performed. Fistula formation increased to about 10 to 12 per cent following radiotherapy, with an additional increase whenever previous operations on the neck had been done and/or if the disease demanded more extensive surgery. The study also indicates that the risk for fistula development is less when an experienced surgeon performs the operation. |
| Databáze: | OpenAIRE |
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