PDF(Pubmed)
Abstract：
UNASSIGNED: Pharyngocutaneous fistula (PCF) is a serious complication following total laryngectomy, significantly impacting patients\' quality of life and treatment costs. Management is complex, with potential for recurrence after surgical intervention.
METHODS: We present a case of PCF that developed following laryngectomy. Initial conservative treatment failed to resolve the fistula. A pectoralis major myofascial flap was then attempted, but the fistula recurred. Finally, autologous fat grafting was performed with excellent results.
UNASSIGNED: Conservative management should be the first-line approach for PCF, as most cases respond favorably. However, if the fistula persists, alternative methods should be explored to achieve optimal outcomes. Our case highlights the importance of not persisting with a failed approach. Autologous fat grafting offers a promising alternative with demonstrably positive outcomes.
CONCLUSIONS: Pharyngocutaneous fistula presents a significant challenge in post-laryngectomy care. Surgical repair can be complex with potential complications. Our case demonstrates the effectiveness of autologous fat grafting as a successful treatment modality.
METHODS: We present a case of PCF that developed following laryngectomy. Initial conservative treatment failed to resolve the fistula. A pectoralis major myofascial flap was then attempted, but the fistula recurred. Finally, autologous fat grafting was performed with excellent results.
UNASSIGNED: Conservative management should be the first-line approach for PCF, as most cases respond favorably. However, if the fistula persists, alternative methods should be explored to achieve optimal outcomes. Our case highlights the importance of not persisting with a failed approach. Autologous fat grafting offers a promising alternative with demonstrably positive outcomes.
CONCLUSIONS: Pharyngocutaneous fistula presents a significant challenge in post-laryngectomy care. Surgical repair can be complex with potential complications. Our case demonstrates the effectiveness of autologous fat grafting as a successful treatment modality.
摘要：
■喉皮瘘（LCF）是全喉切除术后的严重并发症，显著影响患者的生活质量和治疗成本。管理是复杂的，手术干预后可能复发。
方法：我们介绍一例喉切除术后出现的LCF。最初的保守治疗未能解决瘘管。然后尝试胸大肌肌筋膜皮瓣，但是瘘管复发了.最后,自体脂肪移植效果极佳.
■保守管理应该是LCF的第一线方法，因为大多数情况下反应良好。然而,如果瘘管持续存在，应探索替代方法以达到最佳结果。我们的案例强调了不坚持失败方法的重要性。自体脂肪移植提供了一个有希望的替代方案，具有明显的积极结果。
结论：喉皮瘘在喉切除术后护理中提出了重大挑战。手术修复可能很复杂，有潜在的并发症。我们的案例证明了自体脂肪移植作为一种成功的治疗方式的有效性。
方法：我们介绍一例喉切除术后出现的LCF。最初的保守治疗未能解决瘘管。然后尝试胸大肌肌筋膜皮瓣，但是瘘管复发了.最后,自体脂肪移植效果极佳.
■保守管理应该是LCF的第一线方法，因为大多数情况下反应良好。然而,如果瘘管持续存在，应探索替代方法以达到最佳结果。我们的案例强调了不坚持失败方法的重要性。自体脂肪移植提供了一个有希望的替代方案，具有明显的积极结果。
结论：喉皮瘘在喉切除术后护理中提出了重大挑战。手术修复可能很复杂，有潜在的并发症。我们的案例证明了自体脂肪移植作为一种成功的治疗方式的有效性。
