Surgical treatment of pharyngostomes in irradiated patients. Our experience with musculocutaneous pectoralis major flap and hyperbaric oxygen therapy.
Conclusion . Our experience confirms that pectoralis major flap is the first-choice technique for repairing recurrent hypopharyngeal fistulae in previously irradiated patients in whom microsurgical techniques are not indicated, and that hyperbaric oxygen therapy helps to solve this complex pathology...
| Publicado en: | Acta Oto-Laryngologica Vol. 125; no. 7; pp. 759 - 765 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jul2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106088296&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106088296 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00016489 B6D jtl: Acta Oto-Laryngologica issn: 00016489 maglogo: Y pubinfo: dt: Jul2005 vid: 125 iid: 7 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 106088296 2009417171 NLM16012039 106088296 ppf: 759 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Surgical treatment of pharyngostomes in irradiated patients. Our experience with musculocutaneous pectoralis major flap and hyperbaric oxygen therapy. aug: au: Cordova A Corradino B Pirrello R Di Lorenzo S Dispenza C Moschella F sug: subj: Fistula Surgery Hyperbaric Oxygenation Laryngectomy Adverse Effects Pectoralis Muscles Surgery Pharyngeal Diseases Surgery Surgical Flaps Aged Aged, 80 and Over Female Fistula Etiology Fistula Therapy Laryngeal Neoplasms Radiotherapy Laryngeal Neoplasms Surgery Male Middle Age Pharyngeal Diseases Etiology Pharyngeal Diseases Therapy Pharyngeal Neoplasms Radiotherapy Pharyngeal Neoplasms Surgery Postoperative Complications Radiotherapy, Adjuvant Surgery, Reconstructive Methods Treatment Outcomes Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Conclusion . Our experience confirms that pectoralis major flap is the first-choice technique for repairing recurrent hypopharyngeal fistulae in previously irradiated patients in whom microsurgical techniques are not indicated, and that hyperbaric oxygen therapy helps to solve this complex pathology. Objectives . A pharyngostome is a complication encountered when performing surgical operations on pharyngolaryngeal structures. The authors present their experience of treating recurrent complex pharyngostomes in previously irradiated patients in poor physical health. These patients need a simple, safe reconstruction with a low incidence of postoperative complications. Material and methods . A pedicled pectoralis major flap was used for reconstruction: the skin side of the flap was used to restore the continuity of the pharyngeal mucosa, while the muscle was used to reconstruct the intermediate layer. The skin layer was completed by means of a free skin graft. In all cases, surgical treatment was combined with hyperbaric oxygen therapy before and after the operation. Results . A total of 10 patients, all of whom had previously undergone surgery and radiotherapy, had recurring or pluri-recurring pharyngostomes. All patients (8 males, 2 females; age range 52-80 years) had previously been affected by carcinoma of the pharyngolaryngeal region. All underwent major local Ablation together with radical neck dissection and radiotherapy. In all cases there was mucosa on the posterior wall; a musculocutaneous pectoralis major flap was used in all cases for reconstruction. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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