ArticleFrontiers in oncology2021
"Fistula Zero" Project After Total Laryngectomy: The Candiolo Cancer Institute Experience.
Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- [Comparison of pharyngocutaneous fistula after total laryngectomy with thyroid gland flap and traditional strap muscle].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024Trial
- Microvascular Free Flap Reconstruction After Salvage Total Laryngectomy: Experience of the Verona University.Journal of clinical medicine · 2025Article
- Negative Pressure Tube Drainage for the Management of Pharyngocutaneous Fistulas in Patients Following Total Laryngectomy.Journal of clinical medicine · 2025Article
- Preventing and managing pharyngocutaneous fistula after total laryngectomy - A narrative review.Frontiers in oncology · 2025Review
- Non-Surgical Strategies for Assisting Closure of Pharyngocutaneous Fistula after Total Laryngectomy: A Systematic Review of the Literature.Journal of clinical medicine · 2021Review
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
objectivesPharyngocutaneous fistula (PCF) is a troublesome complication after total laryngectomy. The "Fistula zero" project aims to reduce the number of PCF by following a detailed protocol based on three fundamental key points. MATERIALS AND
methodsThe Fistula zero project included 77 patients who underwent total laryngectomy in the period from January 2019 to December 2020. The protocol consisted of three main aspects: the systematic placement of a Har-El salivary bypass tube, the continuous horizontal watertight pharyngeal suture using a barbed suture, onlay insetting of a pedicled flap in pre-treated patients.
resultsOne case of PCF (1.3%) and three small blind fistulas (3.9%) were observed in this series. The mean length of hospitalization was 18 days.
conclusionPharyngocutaneous fistula (PCF) prolongs hospitalization and delays adjuvant treatments. Thanks to a strict adherence to the protocol, it was possible to reduce PCF rates, avoiding lengthy hospitalization and additional surgical procedures.
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