Do salivary bypass tubes lower the incidence of pharyngocutaneous fistula following total laryngectomy? A retrospective analysis of predictive factors using multivariate analysis

• Published in: European archives of oto-rhino-laryngology Vol. 274; no. 4; pp. 1983 - 1991
• Main Authors: Hone, Robert W. A., Rahman, Eqramur, Wong, Gentle, Annan, Yvette, Alexander, Victoria, Al-Lami, Ali, Varadharajan, Kiran, Parker, Michael, Simo, Ricard, Pitkin, Lisa, Mace, Alasdair, Ofo, Enyinnaya, Balfour, Alistair, Nixon, Iain J.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.04.2017
• Subjects: Aged; Anastomosis, Surgical - adverse effects; Anastomosis, Surgical - methods; Chemoradiotherapy - adverse effects; Cutaneous Fistula - diagnosis; Cutaneous Fistula - epidemiology; Cutaneous Fistula - etiology; Female; Head and Neck; Head and Neck Surgery; Humans; Incidence; Laryngeal Neoplasms - surgery; Laryngectomy - adverse effects; Laryngectomy - methods; Male; Medicine; Medicine & Public Health; Middle Aged; Neurosurgery; Otorhinolaryngology; Outcome and Process Assessment (Health Care); Pharyngeal Diseases - diagnosis; Pharyngeal Diseases - epidemiology; Pharyngeal Diseases - etiology; Pharyngectomy - adverse effects; Pharyngectomy - methods; Postoperative Complications - diagnosis; Prognosis; Prospective Studies; Retrospective Studies; Salivary Ducts - surgery; United Kingdom - epidemiology; Fistula; Salivary bypass tube; Complications; Laryngectomy; Cancer
• ISSN: 0937-4477; 1434-4726; 1434-4726
• DOI: 10.1007/s00405-016-4391-9

Salivary bypass tubes (SBT) are increasingly used to prevent pharyngocutaneous fistula (PCF) following laryngectomy and pharyngolaryngectomy. There is minimal evidence as to their efficacy and literature is limited. The aim of the study was to determine if SBT prevent PCF. The study was a multicentr...