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Vascularized tissue to reduce fistula following salvage total laryngectomy: a systematic review

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Paleri, Vinidh Drinnan, Mike van den Brekel, Michiel W M Hinni, Michael L Bradley, Patrick J Hamoir, Marc [UCL] Ferlito, Alfio

OBJECTIVES/HYPOTHESIS: Pharyngocutaneous fistulae (PCF) are known to occur in nearly one-third of patients after salvage total laryngectomy (STL). PCF has severe impact on duration of admission and costs and quality of life and can even cause severe complications such as bleeding, infection and death. Many patients need further surgical procedures. The implications for functional outcome and survival are less clear. Several studies have shown that using vascularized tissue from outside the radiation field reduces the risk of PCFs following STL. This review and meta-analysis aims to identify the evidence base to support this hypothesis. DATA SOURCES: English language literature from 2004 to 2013 REVIEW METHODS: We searched the English language literature for articles published on the subject from 2004 to 2013. RESULTS: Adequate data was available to identify pooled incidence rates from seven articles. The pooled relative risk derived from 591 patients was 0.63 (95% CI: 0.47 to 0.85), indicating that patients who have flap reconstruction/reinforcement reduced their risk of PCF by one-third. CONCLUSION: This pooled analysis suggests that there is a clear advantage in using vascularized tissue from outside the radiation field in the laryngectomy defect. While some studies show a clear reduction in PCF rates, others suggest that the fistulae that occur are smaller and rarely need repair.

Document type Article de périodique (Journal article) – Synthèse de littérature
Access type Accès restreint
Publication date 2014
Language Anglais
Journal information "The Laryngoscope" - Vol. 124, no.8, p. 1848-1853 (2014)
Peer reviewed yes
Publisher JohnWiley & Sons, Inc. ((United States) Philadelphia, PA)
issn 0023-852X
e-issn 1531-4995
Publication status Publié
Affiliations UCL - SSS/IREC/MIRO - Pôle d'imagerie moléculaire, radiothérapie et oncologie
UCL - (SLuc) Service d'oto-rhino-laryngologie
UCL - (SLuc) Centre du cancer
MESH Subject Cutaneous Fistula ; Fistula ; Humans ; Laryngectomy ; Pharyngeal Diseases ; Salvage Therapy ; Surgical Flaps
Links
  1. Induction Chemotherapy plus Radiation Compared with Surgery plus Radiation in Patients with Advanced Laryngeal Cancer, 10.1056/nejm199106133242402
  2. Forastiere Arlene A., Goepfert Helmuth, Maor Moshe, Pajak Thomas F., Weber Randal, Morrison William, Glisson Bonnie, Trotti Andy, Ridge John A., Chao Clifford, Peters Glen, Lee Ding-Jen, Leaf Andrea, Ensley John, Cooper Jay, Concurrent Chemotherapy and Radiotherapy for Organ Preservation in Advanced Laryngeal Cancer, 10.1056/nejmoa031317
  3. Theunissen Eleonoor A. R., Timmermans Adriana J., Zuur Charlotte L., Hamming-Vrieze Olga, Paul de Boer Jan, Hilgers Frans J. M., van den Brekel Michiel W. M., Total Laryngectomy for a Dysfunctional Larynx After (Chemo)Radiotherapy, 10.1001/archoto.2012.862
  4. van der Putten L., de Bree R., Kuik D.J., Rietveld D.H.F., Buter J., Eerenstein S.E.J., Leemans C.R., Salvage laryngectomy: Oncological and functional outcome, 10.1016/j.oraloncology.2011.02.002
  5. Paydarfar Joseph A., Birkmeyer Nancy J., Complications in Head and Neck Surgery : A Meta-analysis of Postlaryngectomy Pharyngocutaneous Fistula, 10.1001/archotol.132.1.67
  6. Weber Randal S., Berkey Brian A., Forastiere Arlene, Cooper Jay, Maor Moshe, Goepfert Helmuth, Morrison William, Glisson Bonnie, Trotti Andy, Ridge John A., Chao K. S. Clifford, Peters Glenn, Lee D. J., Leaf Andrea, Ensley John, Outcome of Salvage Total Laryngectomy Following Organ Preservation Therapy : The Radiation Therapy Oncology Group Trial 91-11, 10.1001/archotol.129.1.44
  7. Ganly Ian, Patel Snehal, Matsuo Jeanette, Singh Bhuvanesh, Kraus Dennis, Boyle Jay, Wong Richard, Lee Nancy, Pfister David G., Shaha Ashok, Shah Jatin, Postoperative complications of salvage total laryngectomy, 10.1002/cncr.20974
  8. Sewnaik Aniel, Keereweer Stijn, Al-Mamgani Abrahim, Baatenburg de Jong Robert J., Wieringa Marjan H., Meeuwis Cees A., Kerrebijn Jeroen D.F., High complication risk of salvage surgery after chemoradiation failures, 10.3109/00016489.2011.617779
  9. Sassler A. M., Esclamado R. M., Wolf G. T., Surgery After Organ Preservation Therapy: Analysis of Wound Complications, 10.1001/archotol.1995.01890020024006
  10. Gil Ziv, Gupta Amar, Kummer Ben, Cordeiro Peter G., Kraus Dennis H., Shah Jatin P., Patel Snehal G., The Role of Pectoralis Major Muscle Flap in Salvage Total Laryngectomy, 10.1001/archoto.2009.126
  11. Grau Cai, Johansen Lars Vendelbo, Hansen Hanne Sand, Andersen Elo, Godballe Christian, Andersen Lisbeth Juhler, Hald Jesper, Møller Henrik, Overgaard Marie, Bastholt Lars, Greisen Ole, Harbo Grethe, Hansen Olfred, Overgaard Jens, Salvage laryngectomy and pharyngocutaneous fistulae after primary radiotherapy for head and neck cancer: A national survey from DAHANCA : Pharyngocutaneous Fistulae after Salvage Laryngectomy, 10.1002/hed.10237
  12. Russell Nicola S., Hoving Saske, Heeneman Sylvia, Hage J. Joris, Woerdeman Leonie A.E., de Bree Remco, Lohuis Peter J.F.M., Smeele Ludi, Cleutjens Jack, Valenkamp Addy, Dorresteijn Lucille D.A., Dalesio Otilia, Daemen Mat J., Stewart Fiona A., Novel insights into pathological changes in muscular arteries of radiotherapy patients, 10.1016/j.radonc.2009.05.021
  13. Sakai Akihiro, Okami Kenji, Sugimoto Ryousuke, Ebisumoto Koji, Yamamoto Hikaru, Maki Daisuke, Atsumi Taku, Iida Masahiro, Prevention of wound complications in salvage pharyngolaryngectomy by the use of well-vascularized flaps, 10.3109/00016489.2012.656324
  14. Sinclair Catherine F., Rosenthal Eben L., McColloch Nancy L., Magnuson J. Scott, Desmond Reneé A., Peters Glenn E., Carroll William R., Primary versus delayed tracheoesophageal puncture for laryngopharyngectomy with free flap reconstruction, 10.1002/lary.21836
  15. Mebeed, J Egypt Natl Cancer Inst, 21, 23 (2009)
  16. Withrow Kirk P., Rosenthal Eben L., Gourin Christine G., Peters Glenn E., Magnuson J Scott, Terris David J., Carroll William W., Free Tissue Transfer to Manage Salvage Laryngectomy Defects After Organ Preservation Failure : , 10.1097/mlg.0b013e3180332e39
  17. Patel Urjeet A., Keni Sanjay P., Pectoralis Myofascial Flap during Salvage Laryngectomy Prevents Pharyngocutaneous Fistula, 10.1016/j.otohns.2009.03.024
  18. Patel Urjeet A., Moore Brian A., Wax Mark, Rosenthal Eben, Sweeny Larissa, Militsakh Oleg N., Califano Joseph A., Lin Alice C., Hasney Christian P., Butcher R. Brent, Flohr Jamie, Arnaoutakis Demetri, Huddle Matthew, Richmon Jeremy D., Impact of Pharyngeal Closure Technique on Fistula After Salvage Laryngectomy, 10.1001/jamaoto.2013.2761
  19. Powell J, Ullal U R, Ahmed O, Ragbir M, Paleri V, Tissue transfer to post-chemoradiation salvage laryngectomy defects to prevent pharyngocutaneous fistula: single-centre experience, 10.1017/s0022215114000504
  20. Righini C., Lequeux T., Cuisnier O., Morel N., Reyt E., The pectoralis myofascial flap in pharyngolaryngeal surgery after radiotherapy, 10.1007/s00405-004-0827-8
  21. Fung Kevin, Teknos Theodoros N., Vandenberg Curtis D., Lyden Teresa H., Bradford Carol R., Hogikyan Norman D., Kim Jennifer, Prince Mark E. P., Wolf Gregory T., Chepeha Douglas B., Prevention of wound complications following salvage laryngectomy using free vascularized tissue, 10.1002/hed.20492
  22. Sousa Alexandre Andrade, Castro Sebastião Maurício de Oliveira, Porcaro-Salles José Maria, Soares João Marcos Arantes, Moraes Gustavo Meyer de, Carvalho Jomar Rezende, Silva Guilherme Souza, Laringectomia de resgate: utilização do retalho miocutâneo de peitoral maior na prevenção de fístula faringocutânea, 10.1590/s1808-86942012000400019
  23. Smith Thomas J., Burrage Kenneth J., Ganguly Pradip, Kirby Simon, Drover Christopher, Prevention of Postlaryngectomy Pharyngocutaneous Fistula: The Memorial University Experience, 10.2310/7070.2003.41697
  24. Albirmawy O A, Prevention of postlaryngectomy pharyngocutaneous fistula using a sternocleidomastoid muscle collar flap, 10.1017/s0022215106002659
  25. Merve Ashirwad, Mitra Indu, Swindell Ric, Homer Jarrod J., Shoulder morbidity after pectoralis major flap reconstruction for head and neck cancer, 10.1002/hed.21116
  26. de Witt Christien A., de Bree Remco, Verdonck-de Leeuw Irma M., Quak Jasper J., Leemans C. René, Donor site morbidity of the fasciocutaneous radial forearm flap: what does the patient really bother?, 10.1007/s00405-007-0277-1
  27. Oosthuizen J.C., Leonard David S., Kinsella John B., The role of pectoralis major myofascial flap in salvage laryngectomy: A single surgeon experience, 10.3109/00016489.2012.672768
Bibliographic reference Paleri, Vinidh ; Drinnan, Mike ; van den Brekel, Michiel W M ; Hinni, Michael L ; Bradley, Patrick J ; et. al. Vascularized tissue to reduce fistula following salvage total laryngectomy: a systematic review. In: The Laryngoscope, Vol. 124, no.8, p. 1848-1853 (2014)
Permanent URL http://hdl.handle.net/2078.1/171722