Delayed Pharyngocutaneous Fistula After Total Laryngectomy Caused by an Anterior Cervical Spine plate.

Authors :: Jung EK
Lee DE
Lee JK
Source :: The Journal of craniofacial surgery [J Craniofac Surg] 2023 Jan-Feb 01; Vol. 34 (1), pp. e90-e92. Date of Electronic Publication: 2022 Aug 17.
Publication Year :: 2023
Abstract: Pharyngocutaneous fistula (PCF) caused by a previous anterior cervical spine fixation plate more than a decade ago has not been reported yet. A 70-year-old man with dysphagia was diagnosed as supraglottic cancer. After partial laryngectomy and concurrent chemoradiation, due to increasing arytenoid lesion, total laryngectomy was followed. Pharyngocutaneous fistula occurred but resolved spontaneously. However, retropharyngeal granulation tissue emerging from the anterior cervical spine fixation plate caused delayed PCF. Dysphagia and PCF resolved after fixation plate removal.<br />Competing Interests: The authors report no conflicts of interest.<br /> (Copyright © 2022 by Mutaz B. Habal, MD.)

Subjects :: Male
Humans
Aged
Laryngectomy adverse effects
Postoperative Complications diagnostic imaging
Postoperative Complications etiology
Postoperative Complications surgery
Cervical Vertebrae surgery
Retrospective Studies
Deglutition Disorders surgery
Cutaneous Fistula diagnostic imaging
Cutaneous Fistula etiology
Cutaneous Fistula surgery
Pharyngeal Diseases diagnostic imaging
Pharyngeal Diseases etiology
Pharyngeal Diseases surgery
Laryngeal Neoplasms surgery
Laryngeal Neoplasms complications

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