Reconstruction after Salvage Laryngectomy. (23rd August 2013)

• Record Type: Journal Article
• Authors: Chepeha, Douglas B.; Hanasono, Matthew M.; Patel, Urjeet; Genden, Eric M.; Rosco, Andrew; Chanowski, Eric
• Is Part Of: Otolaryngology--head and neck surgery. Volume 149(2013)Supplement 2
• Page Start: P19
• Page End: P19
• Publication Date: 2013-08-23
• Subjects: Head -- Surgery -- Periodicals; Neck -- Surgery -- Periodicals; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/0194599813493390a40
• Languages: English
• ISSNs: 0194-5998

Abstract

Abstract : Program Description: Patients undergoing salvage laryngectomy after concurrent chemoradiation are predisposed to impaired wound healing that can lead to pharyngocutaneous fistula (PCF). When a PCF develops, extended hospitalization and/or re‐operation are often required. A variety of reconstructive techniques are used to try and mitigate this complication and improve outcome. The microvascular committee conducted a multicenter retrospective review at 19 institutions. Data on over 450 patients will be presented. Overall, pharyngocutaneous fistula rates were 36% and ranged from 21‐46% based on reconstructive approach and size of accompanying pharyngeal defect. Differences in reconstructive approach and guidelines for treating this patient group will be presented. Educational Objectives: 1) Demonstrate the research approach to a multi‐institutional review to establish treatment guidelines for the reconstruction of salvage laryngectomy patients. 2) Contrast reconstructive approaches for the patient undergoing salvage laryngectomy. 3) Provide practice‐based evidence for the reconstruction of the salvage laryngectomy patient.