Bathula Samba Siva, Stern Noah A, Ross Andrew, Patrick Tyler, Talatala Edward R
Otolaryngology, Michigan State University/Detroit Medical Center, Detroit, USA.
Otolaryngology, Detroit Medical Center, Detroit, USA.
Cureus. 2021 Sep 22;13(9):e18198. doi: 10.7759/cureus.18198. eCollection 2021 Sep.
Objective To analyze the effectiveness of the pectoralis major myocutaneous (PMMC) flap in preventing pharyngocutaneous fistula (PCF) formation for salvage total laryngectomy patients. Study design Retrospective chart review of all post-surgical laryngectomy patients for a single surgeon. Methods Inclusion criteria were adult patients 18 years and older who were diagnosed with laryngeal cancer and treated with a salvage total laryngectomy. Exclusion criteria were any laryngectomy patient treated without the PMMC flap or those with incomplete medical records. Results A total of 31 patient charts were identified, and 16 remained after exclusion criteria. The patient age range was 42-71 years (mean = 58.19; SD = 8.093). Greater than 85% of patients had T3 and T4 laryngeal cancers. Without PCF group were 13 patients and with PCF group were only three patients. The mean hospital days in without PCF group were 9.54 and in with PCF group were 16.33. Conclusion In this single surgeon's experience, PCF was prevented by using the PMMC flap in salvage total laryngectomy patients.
目的 分析胸大肌肌皮瓣（PMMC）在挽救性全喉切除术患者中预防咽瘘（PCF）形成的有效性。研究设计 对单一外科医生的所有喉切除术后患者进行回顾性病历审查。方法 纳入标准为18岁及以上被诊断为喉癌并接受挽救性全喉切除术的成年患者。排除标准为未使用PMMC瓣治疗的任何喉切除患者或病历不完整者。结果 共识别出31份患者病历，排除标准后剩余16份。患者年龄范围为42 - 71岁（平均 = 58.19；标准差 = 8.093）。超过85%的患者患有T3和T4期喉癌。无咽瘘组13例患者，有咽瘘组仅3例患者。无咽瘘组的平均住院天数为9.54天，有咽瘘组为16.33天。结论 根据这位单一外科医生的经验，在挽救性全喉切除术患者中使用PMMC瓣可预防咽瘘。
