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Abstract
Background : Despite progress made with reconstruction, morbidity is still elevated after (pharyngo)laryn-gectomy.
The present study was designed to determine the incidence and predisposing factors of the complications following (pharyngo)laryngectomy.
Methods : Primary surgical treatment was delivered in 60 patients. Seventy-five patients underwent surgical salvage following radiotherapy. Different factors were evaluated as potentially predisposing to fistula formation. Results : Stenosis is rare: 5.1% in the present series. A pharyngocutaneous fistula developed in 48.8% of patients. After a multivariate analysis, the site of the tumour was defined as a significant risk factor for pharyngocutaneous fistula formation.
Conclusions : Despite progress made with reconstruction, morbidity is still elevated after major resection of the phary golarynx. Stenosis, a frequent complication when partial pharyngectomy is needed, is rare: 5.1% in the present series. Fistulas are relatively frequent but the majority resolved either with local irrigation or with subsequent flaps. The site of the tumour was a significant risk factor for pharyngocutaneous fistula formation, as defined by a multivariate analysis.
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D. Dequanter
Dr. D. Dequanter, M.D. CHu Charleroi (site Vésale) Department of Surgery Rue de Gozée, 706 B-6110 Montigny Le Tilleul, Belgium Tel.: 0032(0)71921511 E-mail: [email protected]; cc: [email protected]