Endoscopic observation of pharyngeal mucosal suture healing process after total laryngectomy: case series.

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Pub Date : 2023-05-01 DOI:10.1080/00016489.2023.2203700

Shin Matsumoto, Masahiro Nakayama, Keitaro Fujii, Masahiro Adachi, Yoshihide Shima, Keiji Tabuchi

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引用次数: 0

Abstract

Background: Pharyngocutaneous fistula (PCF), a major complication of total laryngectomy, is caused by pharyngeal repair failure.

Objective: Assess the usefulness of endoscopic observation of the pharyngeal suture's healing process for the early detection of PCF development.

Methods: Pharyngeal mucosal sutures were endoscopically observed postoperatively in patients who underwent total laryngectomy with primary closure.

Results: Postoperatively, a white coat adhered to the pharyngeal mucosal suture of all patients. In most cases, the white coat gradually receded, which was considered to be a normal healing process. Thickening of the white coat and/or dehiscence of surgical wound were interpreted as 'poor healing conditions'. Three cases were judged to have developed poor healing conditions of the pharyngeal mucosal suture and one patient developed PCF. The other two patients did not develop PCF, possibly due to early detection of 'poor healing condition' and conservative approach, such as discontinuation of oral intake.

Conclusions: Postoperative poor healing conditions of the pharyngeal mucosal suture may be precursors to PCF development. Endoscopic observation enables early detection of these conditions and may enable the prevention of PCF.

查看原文本刊更多论文

喉全切除术后咽黏膜缝合愈合过程的内镜观察:病例系列。

背景:咽皮瘘(PCF)是全喉切除术的主要并发症，主要由咽修复失败引起。目的:评价内镜下观察咽缝愈合过程对早期发现PCF发展的价值。方法:对一期喉全切除术患者术后咽粘膜缝合进行内镜观察。结果:术后所有患者咽粘膜缝合线均有白大褂粘附。在大多数情况下，白色被毛逐渐消退，这被认为是正常的愈合过程。手术伤口的白色被毛增厚和/或裂开被解释为“愈合条件差”。3例诊断为咽部粘膜缝合愈合不良，1例诊断为PCF。另外两名患者没有发生PCF，可能是由于早期发现“愈合状况差”和保守治疗，如停止口服摄入。结论:术后咽粘膜缝合愈合不良可能是PCF发生的先兆。内窥镜观察可以早期发现这些情况，并可能预防PCF。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Oto-Laryngologica 医学-耳鼻喉科学

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

3-6 weeks

期刊介绍： Acta Oto-Laryngologica is a truly international journal for translational otolaryngology and head- and neck surgery. The journal presents cutting-edge papers on clinical practice, clinical research and basic sciences. Acta also bridges the gap between clinical and basic research.