Tysome J R, Jeannon J P, Simo R
Department of Otolaryngology-Head and Neck Surgery, Guy's and St Thomas' Hospital NHS Foundation Trust, London, UK.
J Laryngol Otol. 2010 Feb;124(2):204-5. doi: 10.1017/S0022215109990879. Epub 2009 Aug 19.
Pharyngocutaneous fistula is a serious complication following total laryngectomy. We report a simple technique which is useful in assessing the adequacy of pharyngeal closure following total laryngectomy.
Installation of 1.5 per cent hydrogen peroxide into the oral cavity, while observing for leakage at the pharyngeal repair.
We have found this technique to be useful in 22 patients undergoing total laryngectomy with pharyngeal resection and neck dissection.
This method ensures that pharyngeal closure has been technically adequate.
咽皮肤瘘是全喉切除术后的一种严重并发症。我们报告一种简单的技术,该技术有助于评估全喉切除术后咽闭合的充分性。
将1.5%的过氧化氢注入口腔,同时观察咽修复处有无渗漏。
我们发现该技术对22例接受全喉切除、咽切除和颈部清扫术的患者有用。
该方法可确保咽闭合在技术上是充分的。