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Fistulae following laryngectomy in patients treated with irradiation

Published online by Cambridge University Press:  29 June 2007

Ketil Natvig ,
Morten Boysen  and
Johan Tausjø
Ketil Natvig*
Affiliation:
Departments of Otolaryngology, National Hospital, University of Oslo, Norway
Morten Boysen
Affiliation:
Departments of Otolaryngology, National Hospital, University of Oslo, Norway
Johan Tausjø
Affiliation:
Departments of Oncology and Radiotherapy, National Hospital, University of Oslo, Norway
*
Professor K. Natvig, Department of Otolaryngology, National Hospital, 0027 Oslo 1, Norway
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Abstract

The development of fistulae following 197 consecutive laryngectomies performed from 1980 to 1987 have been examined. Fistulae were present in 28 patients (14 per cent). Age, T-classification, daily level of radiation dose and the time lapse between diagnosis and operation did not seem to influence the rate of fistula development. The study indicates that there is a two to three per cent risk of fistula development when a primary laryngectomy is performed. Fistula formation increased to about 10 to 12 per cent following radiotherapy, with an additional increase whenever previous operations on the neck had been done and/or if the disease demanded more extensive surgery. The study also indicates that the risk for fistula development is less when an experienced surgeon performs the operation.

Keywords

LaryngectomyFistulaRadiotherapy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 12 , December 1993 , pp. 1136 - 1139
Copyright
Copyright © JLO (1984) Limited 1993

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