Clinical Pattern and Frequency of Pharyngocutaneous Fistula Formation In Patients Who Underwent Total Laryngectomy

Hurtamina Khan, Sameer Qureshi

Abstract

Objective

To determine the clinical pattern of patients who had total laryngectomy with special emphasis on pharyngocutaneous fistula formation (PCF).

Study design

Retrospective descriptive case series.

Place & Duration of study

Department of ENT and Head & Neck Surgery, Jinnah Postgraduate Medical Centre Karachi, from January 2014 to December 2018.

Methodology

The records of all patients of total laryngectomy were reviewed. Variables analyzed included age, gender, primary diagnosis, history of addiction, treatment provided and outcome in these patients. Pre designed form was used to enter data. Descriptive statistics were applied for reporting purpose.  

Results

Total numbers of patients were twenty-six patients of which 23 (88.46%) were males and 3 (21.54%) females. Mean age of the patients was 49±3.50 year. Twenty-two (84.61%) patients had history of addiction. Preoperative radiotherapy, extensive lesion and uncontrolled diabetes mellitus was found among 4 (15.38%), 01 (3.84%) and 02 (7.69%) patients respectively. Total laryngectomy along with lobectomy and thyroidectomy was performed in 3 (11.53%) and in 1 (3.84%) case respectively. The frequency of PCF formation was 26.92% noted in seven patients.

Conclusion

Assessment of preoperative risk factors can help in counseling the patients for possibility of PCF formation which adds to the morbidity and at times mortality.

Key words

Pharyngocutaneous fistula, Risk factors, Total laryngectomy.