Central-part laryngectomy after laryngotracheal separation to manage pharyngocutaneous fistula: A case report and retrospective analysis of 12 cases

A 15-year-old girl presented with a 3-year-history of continuous outflow of saliva from a pharyngocutaneous fistula, located at 5 mm superior to her tracheal stoma. She was diagnosed with Miller-Dieker syndrome at birth. At 2 years of age, pediatric surgeons at our institution carried out laryngotra...

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Published inAuris, nasus, larynx Vol. 50; no. 4; pp. 628 - 631
Main Authors Ohara, Kenzo, Katada, Akihiro, Kumai, Takumi, Ominato, Hisataka, Hirata-Nozaki, Yui, Sabusawa, Tomoaki, Yamaki, Hidekiyo, Kono, Michihisa, Komatsuda, Hiroki, Wakisaka, Risa, Takahara, Miki, Hayashi, Tatsuya, Harabuchi, Yasuaki
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.08.2023
Subjects
Aspiration pneumonia
Central-part laryngectomy
Laryngotracheal separation
Miller-Dieker syndrome
Pharyngocutaneous fistula
Central-part laryngectomy
Miller-Dieker syndrome
Laryngotracheal separation
Pharyngocutaneous fistula
Aspiration pneumonia
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Summary:A 15-year-old girl presented with a 3-year-history of continuous outflow of saliva from a pharyngocutaneous fistula, located at 5 mm superior to her tracheal stoma. She was diagnosed with Miller-Dieker syndrome at birth. At 2 years of age, pediatric surgeons at our institution carried out laryngotracheal separation to prevent aspiration pneumonia. At the age of 12 years, she developed continuous saliva discharge from the fistula. We performed central-part laryngectomy and resection of the pharyngocutaneous fistula, which relieved her from the continuous saliva discharge. Central-part laryngectomy is less invasive and easier to perform than total laryngectomy. We hereby present a case and retrospective analysis of 12 patients, who underwent central-part laryngectomy.
ISSN:0385-8146
1879-1476
DOI:10.1016/j.anl.2022.04.011