改良负压封闭引流（EndoVAC）疗法治疗咽皮肤瘘：病例系列及文献综述
Modified vacuum-assisted closure (EndoVAC) therapy for treatment of pharyngocutaneous fistula: Case series and a review of the literature.
作者信息
Steinbichler Teresa Bernadette, Wolfram Dolores, Runge Annette, Hartl Roland, Dejaco Daniel, Rauchenwald Tina, Pototschnig Claus, Riechelmann Herbert, Schartinger Volker Hans
机构信息
Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Innsbruck, Innsbruck, Austria.
Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Innsbruck, Innsbruck, Austria.
出版信息
Head Neck. 2021 Aug;43(8):2377-2384. doi: 10.1002/hed.26684. Epub 2021 Apr 8.
BACKGROUND
Pharyngocutaneous fistula is a potential life-threatening complication following head and neck surgery. There is only limited evidence about the efficacy of vacuum-assisted closure (VAC) therapy and endoscopic vacuum-assisted closure (EndoVAC) therapy for the treatment of pharyngocutaneous fistulas.
METHODS
In this article, we report on a consecutive case series of six male patients with pharyngocutaneous fistula treated with a modified outside-in EndoVAC technique. We also present a review of the current related literature.
RESULTS
EndoVAC therapy alone was successful in five of the six patients (83.3%) with a median duration of EndoVAC therapy of 18.5 days (range: 7 to 32 days) and a median number of EndoVAC sponge changes of 4 (range: 1 to 9 changes). One patient needed additional reconstructive surgery after prior radiochemotherapy and jejunal transfer. No treatment-related complications were observed.
CONCLUSION
EndoVAC therapy is an easy-to-perform, safe procedure for the treatment of pharyngocutaneous fistulae.
背景
咽皮肤瘘是头颈外科手术后一种潜在的危及生命的并发症。关于负压封闭引流（VAC）疗法和内镜下负压封闭引流（EndoVAC）疗法治疗咽皮肤瘘疗效的证据有限。
方法
在本文中，我们报告了一组连续的6例男性咽皮肤瘘患者采用改良的由外向内EndoVAC技术治疗的病例系列。我们还对当前相关文献进行了综述。
结果
6例患者中，仅采用EndoVAC疗法的5例（83.3%）获得成功，EndoVAC疗法的中位持续时间为18.5天（范围：7至32天），EndoVAC海绵更换的中位次数为4次（范围：1至9次）。1例患者在先前接受放化疗和空肠转移术后需要额外的重建手术。未观察到与治疗相关的并发症。
结论
EndoVAC疗法是一种治疗咽皮肤瘘的操作简便、安全的方法。
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