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Abstract
ObjectiveTo review the current literature regarding stapler-assisted closed total laryngectomy (TL), present a case series, and provide details on operative technique. FindingSeveral meta-analyses and randomized controlled trials have demonstrated lower rates of pharyngocutaneous fistula (PCF) with closed stapler-assisted TL compared to traditional manual closure. Operative time, hospital stay, and time to oral feeding also appear to be lower. We present a five-patient case series of stapler-assisted closed TL with successful outcomes, including the first reported salvage case with free flap reconstruction, and provide technical detail including intraoperative photographs. ConclusionStapler-assisted closed TL appears to be a safe alternative to traditional manual closure in select patients with endolaryngeal tumors with potential for lower rates of PCF and shorter operative time, hospital stay, and time to oral feeding.
Published Version
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Schedule a callMore From: American Journal of Otolaryngology--Head and Neck Medicine and Surgery
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