Mat Baki Marina, Mohd Ridzam Mohd Syafeeq, Abdul Rahim Norazila
Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Universiti Teknologi MARA (UiTM) Sungai Buloh Campus, Selangor, MYS.
Cureus. 2022 Oct 1;14(10):e29802. doi: 10.7759/cureus.29802. eCollection 2022 Oct.
Total laryngectomy (TL) is the treatment of choice for advanced glottic cancer. Post-operative complications can be debilitating for patients, family members and healthcare workers. Complications following TL have been reported in many studies, with pharyngocutaneous fistula and wound infection being the most common. Identifying the risk factors that may give rise to these complications is vital to minimise post-operative morbidity. We present the case of a 62-year-old male who underwent salvage TL following radiation therapy for recurrent glottic carcinoma. The patient developed diffuse submental swelling upon the commencement of oral feeding. A flexible nasopharyngolaryngoscopy revealed a sloughy area at the neopharynx, with the finding of a sealed anastomotic leak on a repeat barium swallow study. We report persistent infection following salvage TL, after a sealed anastomotic leak.
全喉切除术（TL）是晚期声门癌的首选治疗方法。术后并发症可能会使患者、家属和医护人员感到虚弱。许多研究都报道了全喉切除术后的并发症，其中咽皮肤瘘和伤口感染最为常见。识别可能导致这些并发症的危险因素对于将术后发病率降至最低至关重要。我们报告了一例62岁男性患者，该患者因复发性声门癌接受放疗后进行了挽救性全喉切除术。患者开始经口进食后出现颏下弥漫性肿胀。纤维鼻咽喉镜检查显示鼻咽部有一个溃疡区域，重复钡餐吞咽研究发现吻合口密封处有渗漏。我们报告了挽救性全喉切除术后，在吻合口密封处渗漏后出现持续感染的情况。
