Jung Eun Kyung, Lee Dong Eun, Lee Joon Kyoo
Department of Otolaryngology-Head and Neck Surgery, Chonnam National University, Hwasun Hospital, Hwasun, Korea.
J Craniofac Surg. 2023;34(1):e90-e92. doi: 10.1097/SCS.0000000000008919. Epub 2022 Aug 17.
Pharyngocutaneous fistula (PCF) caused by a previous anterior cervical spine fixation plate more than a decade ago has not been reported yet. A 70-year-old man with dysphagia was diagnosed as supraglottic cancer. After partial laryngectomy and concurrent chemoradiation, due to increasing arytenoid lesion, total laryngectomy was followed. Pharyngocutaneous fistula occurred but resolved spontaneously. However, retropharyngeal granulation tissue emerging from the anterior cervical spine fixation plate caused delayed PCF. Dysphagia and PCF resolved after fixation plate removal.
十多年前因前路颈椎固定板导致的咽皮肤瘘（PCF）尚未见报道。一名70岁吞咽困难男性被诊断为声门上癌。在部分喉切除及同步放化疗后，由于杓状软骨病变加重，随后进行了全喉切除术。出现了咽皮肤瘘但自行愈合。然而，来自颈椎前路固定板的咽后肉芽组织导致了迟发性PCF。取出固定板后吞咽困难和PCF得以解决。
