全喉切除术后咽瘘的治疗现状

熊亚军; 金日群; 刘芳; 彭韶平

doi:10.13201/j.issn.1001-1781.2017.23.020

全喉切除术后咽瘘的治疗现状

- 1 赣南医学院(江西赣州, 341000);
- 2 赣南医学院第一附属医院耳鼻咽喉头颈外科

详细信息

通讯作者: 彭韶平, E-mail:psp666@126.com

中图分类号: R767.91

收稿日期: 2017-08-30

Current treatment of pharyngocutaneous fistula after total laryngectomy

More Information

Corresponding author: PENG Shaoping, E-mail: psp666@126.com

Received Date: 30 August 2017

摘要

- 全喉切除术 /
- 咽瘘 /
- 治疗
Abstract: Pharyngocutaneous fistula is a common and serious complication after total laryngectomy, and it will seriously affect patients'postoperative recovery.The treatment of pharyngeal fistula mainly include conservative and surgery therapy.The use of negative-pressure wound therapy and endoscopic technique to treat post laryngectomy pharyngocutaneous fistula also acquire good result in recent years.However, specific therapy options should be choose according to the type and size of the fistula, the patient's overall health condition and preoperative chemoradiotherapy etc.This article will give a review on the status of treatment of pharyngocutaneous fistula after total laryngectomy.
- total laryngectomy /
- pharyngocutaneous fistula /
- therapy

HTML全文

参考文献(29)

[1]	白丹, 陈阳, 查定军, 等.咽瘘的产生及防治现状探讨[J].临床耳鼻咽喉头颈外科杂志, 2009, 23 (3):141-144.
[2]	CAVALOT A L, GERVASIO C F, NAZIONALEG, et al.Pharyngocutaneous fistula as a complication of total laryngectomy:review of the literature and analysis of case records[J].Otolaryngol Head Neck Surg, 2000, 123:587-592.
[3]	许志辉, 洪育明, 梁振源.全喉切除术后咽瘘的原因分析与防治措施[J].中国耳鼻咽喉颅底外科杂志, 2012, 18 (4):275-278.
[4]	龚顺敏, 熊熙, 贾玲, 等.藻酸盐敷料治疗喉癌术后咽瘘的疗效观察[J].世界最新医学信息文摘, 2016, 16 (62):137-138.
[5]	赵晨, 王琰, 郭星, 等.藻酸盐敷料联合水凝胶治疗咽瘘的临床疗效分析[J].中国医科大学学报, 2010, 39 (12):1070-1072.
[6]	MCLEAN J N, NICHOLAS C, DUGGAL P, et al.Surgical management of pharyngocutaneous fistula after total laryngectomy[J].Ann Plast Surg, 2012, 68:442-445.
[7]	DEMIR Z, VELIDEDEOGLU H, CELEBIOGLU S.Repair of pharyngocutaneous fistulas with the submental artery island flap[J].Plast Reconstr Surg, 2005, 115:38-44.
[8]	SONG D J, ZHANG Y X, LI Z, et al.[Modified pedicled thoracoacromial artery perforator flap for the repair of complex pharyngocutaneous fistula:a retrospective review of 9cases] [J].Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2016, 51:918-922.
[9]	PABISZCZAK M, BANASZEWSKI J, PASTUSIAKT, et al.Supraclavicular artery pedicled flap in reconstruction of pharyngocutaneous fitulas after total laryngectomy[J].Otolaryngol Pol, 2015, 69:9-13.
[10]	ANSCHUTZ L, NISA L, ELICIN O, et al.Pectoralis major myofascial interposition flap prevents postoperative pharyngocutaneous fistula in salvage total laryngectomy[J].Eur Arch Otorhinolaryngol, 2016, 273:3943-3949.
[11]	DEGANELLO A, GITTI G, PARRINELLO G, et al.Cost analysis in oral cavity and oropharyngeal reconstructions with microvascular and pedicled flaps[J].Acta Otorhinolaryngol Ital, 2013, 33:380-387.
[12]	裘世杰, 黄琦, 叶栋, 等.胸大肌肌皮瓣在放疗后喉癌及喉咽癌术后咽瘘中的应用[J].中国耳鼻咽喉头颈外科, 2015, 22 (1):10-13.
[13]	NEUBAUER P, CANADAS K, SASAKI C T.Delayed platysma myocutaneous turnover flap for repair of pharyngocutaneous fistula[J].Am J Otolaryngol, 2015, 36:93-96.
[14]	HIRANO T, IWASAKI T, FUJITA K, et al.Repair of a large pharyngocutaneous fistula with a free jejunal patch flap after salvage laryngectomy:A case report[J].Microsurgery, 2017, 37:61-65.
[15]	ITELD L, YU P.Pharyngocutaneous fistula repair after radiotherapy and salvage total laryngectomy[J].J Reconstr Microsurg, 2007, 23:339-345.
[16]	SADIGH P L, WU C J, FENG W J, et al.New double-layer design for 1-stage repair of orocutaneous and pharyngocutaneous fistulae in patients with postoperative irradiated head and neck cancer[J].Head Neck, 2016, 38:353-359.
[17]	王琴, 刘业海, 胡国勤, 等.胸大肌肌皮瓣联合瘘口局部皮肤内翻修复咽瘘的疗效[J].中华肿瘤杂志, 2016, 38 (8):624-627.
[18]	刘春生, 阿力比亚提·艾尼, 马斌林.胸三角及联合邻位皮瓣修复20例咽瘘临床疗效观察[J].现代诊断与治疗, 2014, 25 (21):4904-4905.
[19]	HARRIS A, KOMRAY R R.Cost-effective management of pharyngocutaneous fistulas following laryngectomy[J].Ostomy Wound Manage, 1993, 39:36-37, 40-42, 44.
[20]	ZAKI H S, KHARCHAF M, CARRAU R L.Prosthetic management of pharyngocutaneous fistula by means of a salivary conduit[J].Laryngoscope, 2001, 111:548-551.
[21]	GUNTINAS-LICHIUS O, ECKEL H E.Temporary reduction of salivation in laryngectomy patients with pharyngocutaneous fistulas by botulinum toxin A injection[J].Laryngoscope, 2002, 112:187-189.
[22]	刘华涛, 江采晔, 杨峰.内镜定位内瘘口行持续负压吸引治疗全喉切除术后咽瘘[J].临床耳鼻咽喉头颈外科杂志, 2016, 30 (6):491-492.
[23]	FINK D S, PENA S, HANBY D, et al.Repair of pharyngocutaneous fistula after total laryngectomy:A novel endoscopic approach[J].Head Neck, 2015, 37:81-84.
[24]	ABU E R, EVIATAR E, GAVRIEL H.Hyperbaric oxygen therapy as an alternative to surgery for nonhealing pharyngocutaneous fistula[J].Eur Arch Otorhinolaryngol, 2016, 273:3857-3861.
[25]	PANIELLO R C, FRALEY P L, O'BERT R.Effect of hyperbaric oxygen therapy on a murine squamous cell carcinoma model[J].Head Neck, 2014, 36:1743-1746.
[26]	HUNTER, SUSAN, LANGEMO, et al.The Use of Negative Pressure Wound Therapy[J].Adv Skin Wound Care, 2007, 20:90-95.
[27]	LOAEC E, VAILLANT P Y, BONNE L, et al.Negative-pressure wound therapy for the treatment of pharyngocutaneous fistula[J].Eur Ann Otorhinolaryngol Head Neck Dis, 2014, 131:351-355.
[28]	KAKABADZE Z, MARDALEISHVILI K, LOLADZEG, et al.Clinical application of decellularized and lyophilized human amnionorion membrane grafts for closing post-laryngectomy pharyngocutaneous fistulas[J].J Surg Oncol, 2016, 113:538-543.
[29]	HAUBNER F, GASSNER H G, PEREZ A J.[Injection of Lipotransplants for Wound Healing Complications after Radiotherapy] [J].Laryngorhinootologie, 2016, 95:242-244.