JEJUNAL INTERPOSITION FOR REPAIR OF STRICTURE OR FISTULA AFTER LARYNGECTOMY

被引：24

作者：

DEVRIES, EJ ^{[1
]}

JOHNSON, JT ^{[1
]}

PETRUZZELLI, GJ ^{[1
]}

SHESTAK, K ^{[1
]}

JONES, NF ^{[1
]}

MYERS, EN ^{[1
]}

SCHUSTERMAN, MA ^{[1
]}

WAGNER, R ^{[1
]}

机构：

[1] UNIV PITTSBURGH, PRESBYTERIAN HOSP, DIV PLAST SURG, PITTSBURGH, PA 15213 USA

来源：

ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY | 1990年 / 99卷 / 06期

关键词：

fistula; jejunal interposition; laryngectomy; stricture;

D O I：

10.1177/000348949009900616

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Complications following total laryngectomy may include pharyngocutaneous fistula or pharyngeal stricture. Traditional techniques of repair of fistula and stricture with local or regional flaps lead to a high rate of failure. In this study, we report 18 patients treated by secondary jejunal interposition (JI) to rehabilitate swallowing following recalcitrant postlaryngectomy stricture or fistula. All patients had undergone total laryngectomy with or without partial pharyngectomy for treatment of squamous cell carcinoma of the larynx (8) or hypopharynx (10). Four were stage II; 5, stage III; and 9, stage IV. Thirteen patients (72%) regained swallowing function. Complications of secondary JI included perioperative death (2), flap loss (1), and persistent fistulas (3). Jejunal interposition may be the best modality in the rehabilitation of swallowing in patients with persistent fistula or stricture that fails to respond to traditional management. © 1990, SAGE Publications. All rights reserved.

引用

页码：496 / 498

页数：3

共 14 条

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