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.
Khan
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Department of Surgery, George Washington University Medical Center, Washington, DC 20037.
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