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Hydrogen peroxide aids assessment of pharyngeal closure after laryngectomy

Published online by Cambridge University Press:  19 August 2009

J R Tysome ,
J P Jeannon  and
R Simo
J R Tysome*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Guy's and St Thomas' Hospital NHS Foundation Trust, London, UK
J P Jeannon
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Guy's and St Thomas' Hospital NHS Foundation Trust, London, UK
R Simo
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Guy's and St Thomas' Hospital NHS Foundation Trust, London, UK
*
Address for correspondence: Mr James R Tysome, Department of Otolaryngology – Head and Neck Surgery, Guy's Hospital, St Thomas' Street, London SE1 9RT, UK. E-mail: jamestysome@yahoo.com
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Abstract

Objective:

Pharyngocutaneous fistula is a serious complication following total laryngectomy. We report a simple technique which is useful in assessing the adequacy of pharyngeal closure following total laryngectomy.

Method:

Installation of 1.5 per cent hydrogen peroxide into the oral cavity, while observing for leakage at the pharyngeal repair.

Results:

We have found this technique to be useful in 22 patients undergoing total laryngectomy with pharyngeal resection and neck dissection.

Conclusion:

This method ensures that pharyngeal closure has been technically adequate.

Keywords

LaryngectomyFistulaHydrogen Peroxide
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 2 , February 2010 , pp. 204 - 205
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Galli, J, De Corso, E, Volante, M, Almadori, G, Paludetti, G. Postlaryngectomy pharyngocutaneous fistula: incidence, predisposing factors, and therapy. Otolaryngol Head Neck Surg 2005;133:689–94CrossRefGoogle Scholar
2Markou, KD, Vlachtsis, KC, Nikolaou, AC, Petridis, DG, Kouloulas, AI, Daniilidis, IC. Incidence and predisposing factors of pharyngocutaneous fistula formation after total laryngectomy. Is there a relationship with tumor recurrence? Eur Arch Otorhinolaryngol 2004;261:61–7CrossRefGoogle Scholar
3Redaelli de Zinis, LO, Ferrari, L, Tomenzoli, D, Premoli, G, Parrinello, G, Nicolai, P. Postlaryngectomy pharyngocutaneous fistula: incidence, predisposing factors, and therapy. Head Neck 1999;21:131–83.0.CO;2-F>CrossRefGoogle Scholar
4Ikiz, AO, Uca, M, Guneri, EA, Erdag, TK, Sutay, S. Pharyngocutaneous fistula and total laryngectomy: possible predisposing factors, with emphasis on pharyngeal myotomy. J Laryngol Otol 2000;114:768–71CrossRefGoogle ScholarPubMed
5Soylu, L, Kiroglu, M, Aydogan, B, Cetik, F, Kiroglu, F, Akcali, C et al. Pharyngocutaneous fistula following laryngectomy. Head Neck 1998;20:22–53.0.CO;2-5>CrossRefGoogle ScholarPubMed