Gupta A K, Bhasin D, Shah R
Ann Acad Med Singap. 1983 Apr;12(2 Suppl):407-10.
A pharyngocutaneous fistula is an irritating and intractable complication following laryngectomy. These fistulae not only prolong the hospital stay of the patient but pose a potential danger of saliva eroding the carotid vessels. The sternocleidomastoid muscle has a number of uses in reconstructive surgery of the head and neck region and most small or medium sized defects can be closed by use of this muscle flap. This paper reports the use of this muscle flap for the closure of pharyngocutaneous fistulae in 4 cases. All the patients had large fistulae which had not healed after 8 weeks and had prior irradiation. There was no recurrent fistula in these cases.
咽皮肤瘘是喉切除术后一种令人困扰且难以处理的并发症。这些瘘不仅会延长患者的住院时间，还存在唾液侵蚀颈动脉的潜在危险。胸锁乳突肌在头颈部重建手术中有多种用途，大多数中小型缺损可通过使用该肌皮瓣进行闭合。本文报道了使用该肌皮瓣闭合4例咽皮肤瘘的情况。所有患者均有较大的瘘，8周后未愈合且曾接受过放疗。这些病例中均未出现复发性瘘。
