Pharyngocutaneous Fistula- Frequency and Risk Factors

Belayat Hossain Siddiquee,Delwar Hossain,Kazi Shameemus Salam,Md Abdus Sattar,Md Momin Uddin,Md Mosleh Uddin,Syed Farhan Ali Razib

doi:10.3329/bjo.v24i2.44177

Abstract

Setting: Study was conducted in the Department of Otolaryngology and Head-Neck surgery of Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh from 2006 to 2017. Objectives: To find out the frequency, risk factors, and its effect on the management of pharyngocutaneous fistula (PCF). Methods: Observational, Cross Sectional study. Number of laryngectomized patients 249. Results: Total PCF developed 48 (19.27%). Irradiated patients with multiple co-morbidities had more chance to develop PCF. Conclusion: High incidence of pharyngocutaneous fistula mostly due to advanced stage of disease, various levels of surgical expertise and post irradiated patients with multiple comorbidities. Bangladesh J of Otorhinolaryngology; October 2018; 24(2): 156-161

Highlights

Pharyngocutaneous Fistula (PCF) is the communication between the pharynx and cervical skin around the surgical incision or, 1
To learn the preventive strategy and other techniques to avoid PCF. This is an Observational, Cross- Sectional study which is conducted in the Department of Otolaryngology and Head-Neck surgery of Bangabandhu Sheikh Mujib Medical University (BSMMU), Duration of study was 12 years, from 2006 to 2017
All patients treated with Total laryngectomy for advanced laryngeal carcinoma and Total Thyroidectomy for advanced thyroid disease with extrathyroidal extension has been included in this study

Summary

Introduction

Pharyngocutaneous Fistula (PCF) is the communication between the pharynx and cervical skin around the surgical incision or, 1. Associate Professor, Department of Otolaryngology & Head-Neck Surgery, BSMMU, Dhaka, Bangladesh. 2. Classified ENT Specialist & Head-Neck Surgeon, CMH, Jashore, 3. Head and neck cancers account for approximately 4% of all cancers in the United States. These cancers are more than twice as common among men as they are among women. Head and neck cancers are diagnosed more often among people over age 50 than they are among younger people[2]

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Results

Conclusion