Management of Salvage Laryngectomy Defects and Related Wound Complications
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2025-03-03
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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery
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University of Cape Town
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Abstract
The goal of this chapter is to provide a working framework for the management of fistulae and complex wounds related to salvage total laryngectomy (sTL). sTL is an effective oncologic intervention for recurrence following (chemo)radiation therapy, but is frequently associated with postoperative wound problems including salivary fistulae, infection, stomal dehiscence, and strictures etc. Overarching therapeutic goals in the acute postoperative period of sTL are optimisation of wound healing, prevention of pharyngocutaneous fistulae, avoidance of prolonged hospitalisation, and initiation of oral intake. Wound breakdown and fistula formation are associated with functional problems such as dietary restrictions, limited communication, and stricture formation.
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Reference:
Orosco, R. & Rosenthal, E. 2025. Management of Salvage Laryngectomy Defects and Related Wound Complications. In Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 7. http://hdl.handle.net/11427/43487 .