Dedo D D, Alonso W A, Ogura J H
Ann Otol Rhinol Laryngol. 1975 Nov-Dec;84(6):833-40. doi: 10.1177/000348947508400616.
A major complication of head and neck cancer surgery following radiation and extensive resection is pharyngocutaneous fistula. A retrospective analysis of 36 fistula patients out of 376 major head and neck procedures between January 1971 and July 1973 revealed certain guidelines for improved clinical management. Since a large discrepancy existed in the incidence of fistulas between the different surgical procedures, each operative group was examined separately. The incidence, predisposing factors, and methods of treatment for this complication following composite jaw-neck resections and various laryngeal procedures are analyzed and discussed.
放疗及广泛切除术后的头颈癌手术的一个主要并发症是咽皮肤瘘。对1971年1月至1973年7月间376例主要头颈手术中的36例瘘管患者进行回顾性分析，揭示了改善临床管理的某些指导原则。由于不同手术之间瘘管发生率存在很大差异，因此对每个手术组分别进行了检查。分析并讨论了复合颌颈切除术和各种喉部手术后该并发症的发生率、诱发因素及治疗方法。
