Universität zu Köln

Wolber, Philipp, Schwarz, David, Balk, Matthias, Luckscheiter, Nicola, Sommer, Claudia and Gostian, Antoniu-Oreste (2018). Pharyngeal fistulas after total laryngectomy with and without tracheostoma plasty according to Herrmann. Eur. Arch. Oto-Rhino-Laryn., 275 (5). S. 1281 - 1288. NEW YORK: SPRINGER. ISSN 1434-4726

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Abstract

Pharyngeal fistula (PF) is one of the most common complications after total laryngectomy (TL). The tracheostoma plasty technique according to Herrmann (TPH) represents an alternative surgical technique to shape the tracheostoma. The aim of this study was to determine whether the performance of a TPH affects the incidence of PF after TL. A secondary aim was to identify potential risk factors for the development of PF with regard to TPH. Retrospective evaluation of records of 151 consecutive patients at two tertiary care centers with regard to the occurrence and risk factors of PF after TL with and without TPH. 60 patients with TPH and 91 patients without TPH contributed to the results. The overall incidence of PF was 21.2% (32 out of 151). 23.3% (14 out of 60) of patients with TPH and 19.8% (18 of 91) of patients without TPH developed a PF (p = 0.91). Binary logistic regression analysis revealed significant influence of salvage surgery on the risk to develop PF (odds ratio = 2.9; 95% CI 1.16-7.23; p = 0.026). The occurrence of PF was not significantly influenced by any other investigated factors including performance of TPH. Performance of TPH after TL does not increase the incidence of PF. Thus, TPH can be considered as a safe alternative surgical technique for the shaping of the tracheostoma following TL.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wolber, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwarz, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Balk, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Luckscheiter, Nicola UNSPECIFIED UNSPECIFIED UNSPECIFIED Sommer, Claudia UNSPECIFIED UNSPECIFIED UNSPECIFIED Gostian, Antoniu-Oreste UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-188796
DOI:	10.1007/s00405-018-4948-x
Journal or Publication Title:	Eur. Arch. Oto-Rhino-Laryn.
Volume:	275
Number:	5
Page Range:	S. 1281 - 1288
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1434-4726
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PHARYNGOCUTANEOUS FISTULA; MULTIVARIATE-ANALYSIS; PREDISPOSING FACTORS; WOUND COMPLICATIONS; NECK-SURGERY; RISK; HEAD; PRESERVATION; PREVENTION Multiple languages Otorhinolaryngology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18879