Temporary management of selected pharyngocutaneous fistulas with a silicone septal button.
Management of a pharyngocutaneous (PC) fistula following laryngopharyngectomy with or without neck dissection is a difficult problem, particularly in cases where repair cannot be accomplished in a reasonable period of time. Use of a silicone septal button is described in the temporary management of selected PC fistulas (i.e., fistula size not more than 1 cm). This technique has been used successfully to date in three patients whose salivary fistulas were located directly above their stomas. The silicone septal button worked as a useful temporary measure in preventing salivary spillage into the stoma und was well tolerated by the patients treated until definitive closure was possible.
Department of Surgery, George Washington University Medical Center, Washington, DC 20037.
A
A
Khan
D000368:Aged; D000369:Aged, 80 and over; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010608:Pharyngeal Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D019736:Prostheses and Implants; D012828:Silicones; D012871:Skin Diseases / Q000601:surgery*; D014139:Tracheostomy
D012828:Silicones