Department of Surgery, University Cancer Institute of Toulouse - Oncopole, Toulouse, France.
Department of Oncorehabilitation, University Cancer Institute of Toulouse - Oncopole, Toulouse, France.
Head Neck. 2024 Apr;46(4):740-748. doi: 10.1002/hed.27617. Epub 2024 Jan 3.
We aimed to assess the effectiveness of a single-institution protocol of videofluoroscopic swallowing study (VFSS) for the detection of pharyngeal leak (PL) and its usefulness to mitigate evolution into subsequent pharyngocutaneous fistula (PCF) after total (pharyngo-) laryngectomy (TL).
This retrospective single-center study was conducted between February 2014 and December 2022. We included all patients who underwent TL and performed a VFSS between Day 7 and Day 14 postoperatively to detect a subclinical PL.
Two-hundred and forty-eight patients met the inclusion criteria. Among the 186 patients (75%) with a negative VFSS, 11 patients (5.9%) developed a secondary PCF after oral intake resumption (false negative of VFSS). Among the 62 patients (25%) with a positive VFSS, the occurrence of a PCF was avoided in 59.7% of cases.
This study showed a good effectiveness of VFSS in the detection of PL after TL, alongside a usefulness to mitigate evolution into subsequent PCF.
我们旨在评估单机构视频透视吞咽研究（VFSS）在检测咽漏（PL）方面的有效性，及其在全（咽）喉切除术后（TL）减轻后续咽皮瘘（PCF）发展的作用。
这是一项 2014 年 2 月至 2022 年 12 月期间进行的回顾性单中心研究。我们纳入了所有接受 TL 并在术后 7 至 14 天进行 VFSS 以检测亚临床 PL 的患者。
符合纳入标准的患者有 248 例。在 186 例 VFSS 阴性的患者中，有 11 例（5.9%）在恢复口服摄入后发生继发性 PCF（VFSS 假阴性）。在 62 例 VFSS 阳性的患者中，有 59.7%的病例避免了 PCF 的发生。
本研究表明，VFSS 在 TL 后检测 PL 方面具有良好的效果，并且有助于减轻后续 PCF 的发生。
