Evidence map›Paper›PMID 37659224›Full record

SynthesisAmerican journal of otolaryngology

Surgical closure of enlarged tracheoesophageal fistula after laryngectomy: A systematic review of techniques.

Ciaran Lane, Maxwell Wright, Janice Linton, Neerav Goyal

Open access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in American journal of otolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Ciaran LaneDepartment of Otolaryngology - Head and Neck Surgery, Pennsylvania State University, Hershey, PA, USA; Department of Otolaryngology - Head and Neck Surgery, University of Manitoba, Winnipeg, Canada.
Maxwell WrightDepartment of Otolaryngology - Head and Neck Surgery, Pennsylvania State University, Hershey, PA, USA.
Janice LintonNeil John Maclean Health Sciences Library, University of Manitoba Libraries, Winnipeg, Canada.
Neerav GoyalDepartment of Otolaryngology - Head and Neck Surgery, Pennsylvania State University, Hershey, PA, USA.
Pennsylvania State University · USUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objectives of the study were (1) systematically review the data on surgical closure of enlarged tracheoesophageal fistula after laryngectomy and (2) to perform a comparison of reconstruction of surgical techniques.

methodsSystematic review was performed using PRISMA methodology. Cumulative patient data were compared between patients reconstructed with vascularized tissue (sternocleidomastoid fascia and muscle, pectoralis major, deltopectoral, radial forearm) and those closed primarily (two-layer, three-layer, and tracheal transposition).

resultsFourteen studies reported outcomes for the reconstruction of tracheoesophageal fistula. Primary closure was used in 98 patients, vascularized flap in 74, and occlusive device in 8. Vascularized flap resulted in successful closure of the fistula in 89 % of cases compared to primary closure in 62 % (p = 0.0003).

conclusionSystematic review of the literature supports an improved surgical closure rate with vascularized flap interposed between the esophageal and tracheal lumens compared to primary closure.

Indexed as

Cutaneous FistulaLaryngeal NeoplasmsPlastic Surgery ProceduresTracheoesophageal FistulaHumansLaryngectomyPostoperative ComplicationsRetrospective StudiesSurgical FlapsTracheaLaryngectomyReconstructionSystematic reviewTracheoesophageal fistula

Identifiers

PMID37659224
OpenAlexW4385998048

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.