Risk factors of pharyngocutaneous fistula following total laryngectomy
Background: Total laryngectomy is the procedure of removing the entire laryngeal structure. The purpose of this study was to analyze the risk factors for postoperative total pharyngocutaneous fistula. Methods: This was a retrospective study using medical record data with cross-sectional design. This...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article PeerReviewed |
| Language: | English English English English English |
| Published: |
Foundation for Enviromental Protection and Research
2020
|
| Subjects: | |
| Online Access: | https://repository.unair.ac.id/119441/1/Bukti%20Korespondensi%205.pdf https://repository.unair.ac.id/119441/2/Karil%205.pdf https://repository.unair.ac.id/119441/3/C5%20Turnitin.pdf https://repository.unair.ac.id/119441/4/Artikel%205.pdf https://repository.unair.ac.id/119441/9/Bukti%20Etik%205.pdf https://repository.unair.ac.id/119441/ https://www.ejobios.org/ |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Institution: | Universitas Airlangga |
| Language: | English English English English English |
| Summary: | Background: Total laryngectomy is the procedure of removing the entire laryngeal structure. The purpose of this study was to analyze the risk factors for postoperative total pharyngocutaneous fistula. Methods: This was a retrospective study using medical record data with cross-sectional design. This research was conducted at Dr. Soetomo Surabaya, Indonesia from January 1, 2016 to December 31, 2018. Results: The prevalence of pharyngocutaneous fistula was 14 patients (17.07%) of 82 patients with laryngeal carcinoma. Age factors (p = 0.243), sex (p = 1.000), previous smoking history (p = 0.506), history of type 2 diabetes mellitus (p = 1.000), histopathology (p = 0.076), stage (p = 1,000), tumor location (p = 0.183), incision technique (p = 0.924), preoperative hemoglobin levels (p = 0.669), and preoperative albumin levels (p = 1.00) were not found to be significantly associated with complications of pharyngocutaneous fistula. However, there was a significant relationship between neck dissection and pharyngocutaneous fistula complications (p = 0.023, OR = 6.8, 95% CI 1.373-33.867). Patients with neck dissection had the possibility to experience complications of pharyngocutaneous fistula 6.8 times higher compared to those without neck dissection. Conclusion: There is a relationship between neck dissection and pharyngocutaneous fistula complications. |
|---|