Management of Salvage Laryngectomy Defects and Related Wound Complications

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dc.contributor.authorOrosco, Ryan
dc.contributor.authorRosenthal, Eben
dc.contributor.editorFagan, Johan
dc.date.accessioned2026-07-07T09:42:00Z
dc.date.available2026-07-07T09:42:00Z
dc.date.issued2025-03-03
dc.description.abstractThe 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.
dc.identifier.apacitationOrosco, R., & Rosenthal, E. (2025). Management of Salvage Laryngectomy Defects and Related Wound Complications. In J. Fagan. (Ed.), <i>Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery</i> (pp.7). Cape Town, South Africa: University of Cape Town. http://hdl.handle.net/11427/43487en_ZA
dc.identifier.chicagocitationOrosco, Ryan, and Eben Rosenthal. "Management of Salvage Laryngectomy Defects and Related Wound Complications" In <i>OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY</i>, edited by Johan Fagan., 7. Cape Town, South Africa: University of Cape Town. 2025. http://hdl.handle.net/11427/43487.en_ZA
dc.identifier.citationOrosco, R. & Rosenthal, E. 2025. Management of Salvage Laryngectomy Defects and Related Wound Complications. In <i>Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery</i>. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 7. http://hdl.handle.net/11427/43487 .en_ZA
dc.identifier.ris TY - Chapter in Book AU - Orosco, Ryan AU - Rosenthal, Eben AB - 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. CY - Cape Town, South Africa DA - 2025-03-03 DB - OpenUCT DP - University of Cape Town ED - Fagan, Johan J1 - Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery KW - Salvage Laryngectomy, Wound Breakdown, Pectoralis Major Flap, Free Flaps, Pharyngocutaneous Fistula, Negative Pressure Wound Care LK - https://open.uct.ac.za PP - Cape Town, South Africa PY - 2025 T1 - Management of Salvage Laryngectomy Defects and Related Wound Complications TI - Management of Salvage Laryngectomy Defects and Related Wound Complications UR - http://hdl.handle.net/11427/43487 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/43487
dc.identifier.vancouvercitationOrosco R, Rosenthal E. Management of Salvage Laryngectomy Defects and Related Wound Complications. In Fagan J, editor.. Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. Cape Town, South Africa: University of Cape Town; 2025. p.7. [cited yyyy month dd]. http://hdl.handle.net/11427/43487.en_ZA
dc.language.isoen
dc.publisherUniversity of Cape Town
dc.publisher.departmentDivision of Otorhinolaryngology
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.locationCape Town, South Africa
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.sourceOpen Access Atlas of Otolaryngology, Head & Neck Operative Surgery
dc.source.pagination7
dc.subjectSalvage Laryngectomy, Wound Breakdown, Pectoralis Major Flap, Free Flaps, Pharyngocutaneous Fistula, Negative Pressure Wound Care
dc.titleManagement of Salvage Laryngectomy Defects and Related Wound Complications
dc.typeChapter in Book
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