Is It Important Which Suturing Technique Used for Pharyngeal Mucosal Closure in Total Laryngectomy? Modified Continuous Connell Suture May Decrease Pharyngocutaneous Fistula
| Autor: | Burak Karabulut, Hakan Avci |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Cutaneous Fistula medicine.medical_treatment Closure (topology) Laryngectomy Respiratory Mucosa Pharyngocutaneous Fistula Hemoglobins 03 medical and health sciences Postoperative Complications 0302 clinical medicine Suture (anatomy) Risk Factors medicine Humans 030223 otorhinolaryngology Serum Albumin Aged Retrospective Studies Aged 80 and over business.industry Suture Techniques Pharyngeal Diseases Middle Aged Surgery Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Preoperative Period Pharynx Female business |
| Zdroj: | Ear, Nose & Throat Journal. 99:664-670 |
| ISSN: | 1942-7522 0145-5613 |
| Popis: | Objective: The aim of this study is to research the correlation between pharyngeal mucosal suture techniques and pharyngocutaneous fistula (PCF) development after total laryngectomy. We also aimed to investigate other risk factor for fistula development. Methods: Medical charts of 85 patients who had total laryngectomy during August 2016 and February 2020 were reviewed. Sixteen patients were excluded due to exclusion criteria. Patients were grouped according to pharyngeal mucosal suture technique. Group 1 had modified continuous Connell suture and group 2 had interrupted submucosal suture for mucosal closure of pharynx. Demographic, medical, and surgical records reviewed for comparison. Results: Overall PCF rate was 28%;PCF rates were 16% (5/31) in group 1 and 39% (15/38) in group 2. This difference was significant (Pearson χ2 P = .033). There was no difference between groups due to age, gender, smoking history, tumor stage preoperative albumin levels, preoperative hemoglobin levels, radiotherapy status, chronic obstructive pulmonary disorder and diabetes mellitus history of patients, previous tracheostomy, neck dissection. But correlation analysis revealed that PCF formation significantly related with suture technique ( P = .032), preoperative albumin level Conclusion: The suture technique used for pharyngeal mucosal closure, preoperative albumin level |
| Databáze: | OpenAIRE |
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