Surgical closures of oropharyngocutaneous fistulas.
Of the 146 patients undergoing surgery for oropharyngeal cancer in our institution, 12 (8.2 percent) developed fistulas. As a first line of therapy, conservative measures were used, which consisted of debridement, Xeroform gauze packing, and nasogastric feeding. Seven fistulas closed after conservative treatment. Of the five patients who required surgery for fistula closure, three had large (more than 20 mm) and two had mid-size (5- to 20-mm) fistulas. In all cases, internal flaps were prepared from the healthy viable tissues surrounding the fistula, and sternocleidomastoid-trapezius-platysma myocutaneous flaps were used for external closure. None of the closures failed, and we obtained good functional and aesthetic results.
Olasz
L
L
Department of Oral and Maxillofacial Surgery, Medical University Pécs, Dischka, Hungary.
Németh
A
A
Nyárády
Z
Z
D000328:Adult; D000368:Aged; D017577:Cutaneous Fistula / Q000601:surgery*; D003646:Debridement; D004750:Enteral Nutrition; D005260:Female; D005402:Fistula / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D007441:Intubation, Gastrointestinal; D008297:Male; D008875:Middle Aged; D009334:Neck Muscles / Q000637:transplantation; D009959:Oropharyngeal Neoplasms / Q000601:surgery; D009960:Oropharynx / Q000601:surgery*; D010608:Pharyngeal Diseases / Q000601:surgery*; D011183:Postoperative Complications; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D015503:Surgical Sponges