Evidence map›Paper›PMID 29574599›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2018

Pharyngeal fistulas after total laryngectomy with and without tracheostoma plasty according to Herrmann.

Philipp Wolber, David Schwarz, Matthias Balk, Nicola Luckscheiter, Claudia Sommer, Antoniu-Oreste Gostian

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed, 1 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Philipp WolberDepartment of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Cologne, 50924, Cologne, Germany. Philipp.Wolber@uk-koeln.de.ORCID http://orcid.org/0000-0001-9019-2840
David SchwarzDepartment of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Cologne, 50924, Cologne, Germany.
Matthias BalkDepartment of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Cologne, 50924, Cologne, Germany.
Nicola LuckscheiterDepartment of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Cologne, 50924, Cologne, Germany.
Claudia SommerDepartment of Otolaryngology, Staedt. Kliniken Neuss, Neuss, Germany.
Antoniu-Oreste GostianDepartment of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, University of Cologne, 50924, Cologne, Germany.
University of Cologne · DELukaskrankenhaus · DETH Köln - University of Applied Sciences · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePharyngeal fistula (PF) is one of the most common complications after total laryngectomy (TL). The tracheostoma plasty technique according to Herrmann (TPH) represents an alternative surgical technique to shape the tracheostoma. The aim of this study was to determine whether the performance of a TPH affects the incidence of PF after TL. A secondary aim was to identify potential risk factors for the development of PF with regard to TPH.

methodsRetrospective evaluation of records of 151 consecutive patients at two tertiary care centers with regard to the occurrence and risk factors of PF after TL with and without TPH.

results60 patients with TPH and 91 patients without TPH contributed to the results. The overall incidence of PF was 21.2% (32 out of 151). 23.3% (14 out of 60) of patients with TPH and 19.8% (18 of 91) of patients without TPH developed a PF (p = 0.91). Binary logistic regression analysis revealed significant influence of salvage surgery on the risk to develop PF (odds ratio = 2.9; 95% CI 1.16-7.23; p = 0.026). The occurrence of PF was not significantly influenced by any other investigated factors including performance of TPH.

conclusionsPerformance of TPH after TL does not increase the incidence of PF. Thus, TPH can be considered as a safe alternative surgical technique for the shaping of the tracheostoma following TL.

Indexed as

Cutaneous FistulaPharyngeal DiseasesPostoperative ComplicationsAdultAgedFemaleGermanyHumansIncidenceLaryngeal NeoplasmsLaryngectomyMaleMiddle AgedPharynxRetrospective StudiesRisk FactorsFistulaPostoperative complicationsRisk factorsTotal laryngectomyTracheostomy

Identifiers

PMID29574599
OpenAlexW2791998179

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.