Horgan E C, Dedo H H
Laryngoscope. 1979 Feb;89(2 Pt 1):250-60. doi: 10.1288/00005537-197902000-00008.
Every Head and Neck surgeon has special techniques which he uses to get maximum rates of five-year survival and minimum fistula formation, especially major fistula and carotid rupture. The literature reflects a wide variation in the rate of fistula formation. We reviewed the senior author's prior 78 total laryngectomies and noted a fistula rate of 10.3% (6.4% minor fistulae and 3.9% major fistulae). We also reviewed contributing factors and discuss surgical techniques designed to minimize fistula formation.
每位头颈外科医生都有其独特的技术，用于实现最高的五年生存率以及最低的瘘管形成率，尤其是严重瘘管和颈动脉破裂的发生率。文献表明，瘘管形成率存在很大差异。我们回顾了资深作者之前进行的78例全喉切除术，发现瘘管发生率为10.3%（轻度瘘管占6.4%，重度瘘管占3.9%）。我们还回顾了相关影响因素，并讨论了旨在尽量减少瘘管形成的手术技术。
