Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure
Objective: The objective of this study was to compare the outcomes vertical and T-shaped pharyngoplasty closure techniques after total laryngectomy (TL) and to evaluate the factors associated with the development of pharyngocutaneous fistula. Method: We performed a retrospective study that included...
| Autores principales: | , , , , , |
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| Formato: | Artículo |
| Lenguaje: | inglés |
| Publicado: |
2024
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| Acceso en línea: | http://eprints.uanl.mx/30012/1/1363.pdf |
| _version_ | 1838551026981928960 |
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| author | Montemayor Alatorre, Adolfo Serna Vázquez, Ruth Patricia Santos Santillana, Karla Marisol Morales del Ángel, Josefina Alejandra Córtes Ponce, José R. Treviño González, José Luis |
| author_facet | Montemayor Alatorre, Adolfo Serna Vázquez, Ruth Patricia Santos Santillana, Karla Marisol Morales del Ángel, Josefina Alejandra Córtes Ponce, José R. Treviño González, José Luis |
| author_sort | Montemayor Alatorre, Adolfo |
| collection | Repositorio Institucional |
| description | Objective: The objective of this study was to compare the outcomes vertical and T-shaped pharyngoplasty closure techniques after total laryngectomy (TL) and to evaluate the factors associated with the development of pharyngocutaneous fistula. Method: We performed a retrospective study that included patients with a histopathological diagnosis of laryngeal cancer that underwent TL between 2009 and 2021. Results: Fifty-seven patients were included in the study. A total of 14 patients underwent a vertical closure of the neopharynx (24.6%), while 43 patients underwent a T-shaped closure (74.4%). Pharyngocutaneous fistula was the most common complication, observed in 40.4% of cases (n = 23). No difference in the rate of complications was observed between groups, with the exception of tracheal dehiscence which was reduced in patients with T-shaped closure (n = 2, 4.7% vs. n = 5, 35.7%, p = 0.002). Diabetes mellitus was more frequently observed in patients with the development of pharyngocutaneous fistula (n = 7, 30.4% vs. n = 3, 8.8%, p = 0.03). Conclusions: Although complications were lower in the T-shaped closure group, we could not establish the superiority of either technique. |
| format | Article |
| id | eprints-30012 |
| institution | UANL |
| language | English |
| publishDate | 2024 |
| record_format | eprints |
| spelling | eprints-300122025-07-23T17:07:34Z http://eprints.uanl.mx/30012/ Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure Montemayor Alatorre, Adolfo Serna Vázquez, Ruth Patricia Santos Santillana, Karla Marisol Morales del Ángel, Josefina Alejandra Córtes Ponce, José R. Treviño González, José Luis RF Otorrinolaringología: Oídos, Nariz y Garganta Objective: The objective of this study was to compare the outcomes vertical and T-shaped pharyngoplasty closure techniques after total laryngectomy (TL) and to evaluate the factors associated with the development of pharyngocutaneous fistula. Method: We performed a retrospective study that included patients with a histopathological diagnosis of laryngeal cancer that underwent TL between 2009 and 2021. Results: Fifty-seven patients were included in the study. A total of 14 patients underwent a vertical closure of the neopharynx (24.6%), while 43 patients underwent a T-shaped closure (74.4%). Pharyngocutaneous fistula was the most common complication, observed in 40.4% of cases (n = 23). No difference in the rate of complications was observed between groups, with the exception of tracheal dehiscence which was reduced in patients with T-shaped closure (n = 2, 4.7% vs. n = 5, 35.7%, p = 0.002). Diabetes mellitus was more frequently observed in patients with the development of pharyngocutaneous fistula (n = 7, 30.4% vs. n = 3, 8.8%, p = 0.03). Conclusions: Although complications were lower in the T-shaped closure group, we could not establish the superiority of either technique. 2024 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/30012/1/1363.pdf http://eprints.uanl.mx/30012/1.haspreviewThumbnailVersion/1363.pdf Montemayor Alatorre, Adolfo y Serna Vázquez, Ruth Patricia y Santos Santillana, Karla Marisol y Morales del Ángel, Josefina Alejandra y Córtes Ponce, José R. y Treviño González, José Luis (2024) Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure. Cirugía y Cirujanos, 92 (5). pp. 655-659. ISSN 0009-7411 http://doi.org/10.24875/CIRU.22000324 doi:10.24875/CIRU.22000324 |
| spellingShingle | RF Otorrinolaringología: Oídos, Nariz y Garganta Montemayor Alatorre, Adolfo Serna Vázquez, Ruth Patricia Santos Santillana, Karla Marisol Morales del Ángel, Josefina Alejandra Córtes Ponce, José R. Treviño González, José Luis Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure |
| thumbnail | https://rediab.uanl.mx/themes/sandal5/images/online.png |
| title | Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure |
| title_full | Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure |
| title_fullStr | Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure |
| title_full_unstemmed | Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure |
| title_short | Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure |
| title_sort | pharyngeal mucosal closure in total laryngectomy comparison between vertical and t shaped closure |
| topic | RF Otorrinolaringología: Oídos, Nariz y Garganta |
| url | http://eprints.uanl.mx/30012/1/1363.pdf |
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