Khan A
Department of Surgery, George Washington University Medical Center, Washington, DC 20037.
Eur Arch Otorhinolaryngol. 1993;250(2):120-2. doi: 10.1007/BF00179311.
Management of a pharyngocutaneous (PC) fistula following laryngopharyngectomy with or without neck dissection is a difficult problem, particularly in cases where repair cannot be accomplished in a reasonable period of time. Use of a silicone septal button is described in the temporary management of selected PC fistulas (i.e., fistula size not more than 1 cm). This technique has been used successfully to date in three patients whose salivary fistulas were located directly above their stomas. The silicone septal button worked as a useful temporary measure in preventing salivary spillage into the stoma und was well tolerated by the patients treated until definitive closure was possible.
喉咽切除术伴或不伴颈部清扫术后咽皮肤瘘的处理是个难题，尤其是在无法在合理时间内完成修复的情况下。本文描述了在特定咽皮肤瘘（即瘘口大小不超过1cm）的临时处理中使用硅胶鼻中隔纽扣的方法。迄今为止，该技术已成功应用于3例唾液瘘直接位于造口上方的患者。硅胶鼻中隔纽扣作为一种有用的临时措施，可防止唾液漏入造口，且患者耐受性良好，直至能够实现最终闭合。
