Surgical technique for the prevention of tracheal necrosis following total pharyngolaryngectomy

Tanaka,Akihisa; Uemura,Hirokazu; Masui,Takashi; Ota,Ichiro; Kimura,Takahiro; Akioka,Hiroshi; Adachi,Shiori; Kitahara,Tadashi

doi:10.3892/mi.2021.18

November-December 2021 Volume 1 Issue 5

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November-December 2021 Volume 1 Issue 5

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Article Open Access

Surgical technique for the prevention of tracheal necrosis following total pharyngolaryngectomy

Authors:
- Akihisa Tanaka
- Hirokazu Uemura
- Takashi Masui
- Ichiro Ota
- Takahiro Kimura
- Hiroshi Akioka
- Shiori Adachi
- Tadashi Kitahara
View Affiliations / Copyright

Affiliations: Department of Otolaryngology‑Head and Neck Surgery, Nara Medical University, Kashihara, Nara 634‑8522, Japan

Copyright: © Tanaka et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
Article Number: 18
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Published online on: October 26, 2021

https://doi.org/10.3892/mi.2021.18
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Abstract

Total pharyngolaryngectomy with cervical esophagectomy (TPLCE) is an invasive procedure with various post‑operative complications. Tracheal necrosis (TRN) is a fatal complication of TPLCE. The present study aimed to identify a surgical technique which may be used to prevent TRN. The post‑operative complications of 48 patients who underwent TPLCE from January, 2010 to December, 2019 were retrospectively investigated. The incidence of TRN was examined and measures against TRN were reviewed. The results revealed that 3 patients (6%) experienced TRN within 1 week following surgery. In addition, 2 patients required the surgical debridement of the necrotic tissue and tracheoplasty. The other patient underwent conservative treatment. Stomal recurrence developed in 1 patient (2%). On the whole, the present study demonstrates that the incidence of TRN following TPLCE is lower than that observed in previous reports, and only one stomal recurrence was reported. Preserving the blood supply to the trachea is essential for the prevention of TRN. The eight surgical processes used herein effectively preserved the blood supply. Further investigations however, are necessary in order to confirm the present findings and to ensure effective measures are found with which to prevent TRN following TPLCE.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Surgical technique for the prevention of tracheal necrosis following total pharyngolaryngectomy

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