ENT Department-Head and Neck Surgery-Badajoz University Hospital, Badajoz, Spain.
Department of Mathematics, Extremadura University, Badajoz, Spain.
Am J Otolaryngol. 2020 Jul-Aug;41(4):102557. doi: 10.1016/j.amjoto.2020.102557. Epub 2020 May 26.
To evaluate the prophylactic, protocolized, and standardized use of a Montgomery tube in preventing pharyngocutaneous fistulas after total laryngectomy and neck dissection.
Retrospective cohort study.
Tertiary referral centre.
A Montgomery salivary bypass tube was placed in 44 patients undergoing total laryngectomy and neck dissection, observing the percentage of fistula appearance and the time of start of deglutition. Comparison was made with a group of 28 patients prior to the implantation of the protocol in whom the tube was not used.
There was a statistically significant decrease in the percentage of fistulas and an earlier onset of deglutition in the salivary bypass tube patients compared to those in whom the tube had not been used.
Prophylactic and standardized use of the Montgomery salivary bypass tube in patients undergoing total laryngectomy and neck dissection might decrease the incidence of pharyngocutaneous fistula and improve the course of one that is already established.
评估麦氏（Montgomery）管预防性、规范化和标准化使用在预防全喉切除术和颈淋巴结清扫术后咽皮瘘中的作用。
回顾性队列研究。
三级转诊中心。
44 例接受全喉切除术和颈淋巴结清扫术的患者放置了麦氏唾液旁路管，观察瘘管出现的百分比和开始吞咽的时间。与在未应用该方案之前的 28 例患者进行比较，当时未使用该管。
与未使用管的患者相比，唾液旁路管患者的瘘管百分比和吞咽开始时间有统计学显著降低。
预防性和标准化使用麦氏唾液旁路管可能会降低全喉切除术和颈淋巴结清扫术后咽皮瘘的发生率，并改善已发生的瘘管的病程。
