Abstract
Pharyngocutaneous fistulas following large oncological surgical resection of the upper aerodigestive tract are common and typically heal over a number of weeks. A pharyngostome is a surgically created non-healing opening into the pharynx, which is far less common and often difficult to manage.
Highlights
Pharyngocutaneous fistulas are commonly encountered complications after large surgical resections of the upper aerodigestive tract
We describe the case of a 63-year-old man who required a pharyngostome following the surgical treatment of a T4N0M0 hypopharyngeal squamous cell carcinoma (SCC)
In order to facilitate healing and prevent a life threatening carotid blow out, the decision was made to use a pectoralis major myocutaneous flap to cover the left carotid artery and fill the massive neck defect while at the same time creating a pharyngostome for saliva
Summary
Pharyngocutaneous fistulas are commonly encountered complications after large surgical resections of the upper aerodigestive tract. A pharyngostome is a surgically created non-healing opening into the pharynx, which is far less common but may be difficult to manage. We describe the case of a 63-year-old man who required a pharyngostome following the surgical treatment of a T4N0M0 hypopharyngeal squamous cell carcinoma (SCC).
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