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

Suay Ozmen; Mehmet Haksever; Sundus Aslan; Fevzi Solmaz; Davut Akduman

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자료유형: 학술저널

저자정보: Suay Ozmen Mehmet Haksever Sundus Aslan Fevzi Solmaz Davut Akduman

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제8권 제3호

발행연도: 2015.1

수록면: 281 - 288 (8page)

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Objectives. Pharyngocutaneous 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. Methods. This 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. Results. Pharyngocutaneous 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. Conclusion. We 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.

#Fistula #Laryngectomy #Zipper Suture #Suture Techniques #Risk Factors #Drainage

참고문헌 (25)

참고문헌 신청

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Ahsan F / 2008 / Stapled closed technique for laryngectomy and pharyngeal repair / J Laryngol Otol 122 (11) : 1245 ~ 1248

Aires FT / 2012 / Pharyngocutaneous fistula following total laryngectomy / Braz J Otorhinolaryngol 78 (6) : 94 ~ 98

Akduman D / 2008 / Pharyngocutaneous fistula after total laryngectomy: incidence, predisposing factors, and treatment / Kulak Burun Bogaz Ihtis Derg 18 (6) : 349 ~ 354

Altissimi G / 2007 / Linear stapler closure of the pharynx during total laryngectomy: a 15-year experience (from closed technique to semi-closed technique) / Acta Otorhinolar

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