Role of Montgomery salivary stent placement during pharyngolaryngectomy, to prevent pharyngocutaneous fistula in high-risk patients

S. Bondi, L. Giordano, P. Limardo, M. Bussi

Research output: Contribution to journalArticle

Abstract

Objective: To evaluate the incidence of pharyngocutaneous fistula after pharyngolaryngectomy with and without a Montgomery salivary stent. Design: Retrospective analysis of patients with factors that predispose to the development of pharyngocutaneous fistula (i.e. disease extending to the supraglottic region, base of the tongue or pyriform sinuses, and/or radiochemotherapy). Subjects: Between 2002 and 2008, 85 pharyngolaryngectomies were performed in our clinic. Of these patients, 31 were at increased risk of fistula development, of whom 45 per cent developed fistulas post-operatively. This subgroup of 31 patients was compared with a second subgroup of 22 patients at high risk of fistula development, treated between 2009 and 2011 with pharyngolaryngectomy and with a Montgomery salivary stent placed in advance during closure of the neopharynx. Results: Statistical analysis showed a significant reduction in the rate of fistula development, from 45 to 9 per cent (pÂ

Original languageEnglish
Pages (from-to)54-57
Number of pages4
JournalJournal of Laryngology and Otology
Volume127
Issue number1
DOIs
Publication statusPublished - Jan 2013

Keywords

  • Fistula
  • Laryngeal Neoplasms
  • Laryngectomy
  • Pharyngectomy
  • Pharynx
  • Stent

ASJC Scopus subject areas

  • Otorhinolaryngology

Fingerprint Dive into the research topics of 'Role of Montgomery salivary stent placement during pharyngolaryngectomy, to prevent pharyngocutaneous fistula in high-risk patients'. Together they form a unique fingerprint.

  • Cite this