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Predictive factors for the postlaryngectomy pharyngocutaneous fistula development: systematic review

OBJECTIVE: Pharyngocutaneous fistula is considered one of the major complications in the post-operative period after total laryngectomy/pharyngolaryngectomy, leading to a severe adverse impact for the patient and society. This study aimed to identify all the described pharyngocu-taneous fistula pred...

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Autores principales: Cecatto, Suzana Boltes, Soares, Matilde Monteiro, Henriques, Teresa, Monteiro, Eurico, Moura, Carla Isabel Ferreira Pinto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9443975/
https://www.ncbi.nlm.nih.gov/pubmed/24830977
http://dx.doi.org/10.5935/1808-8694.20140034
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author Cecatto, Suzana Boltes
Soares, Matilde Monteiro
Henriques, Teresa
Monteiro, Eurico
Moura, Carla Isabel Ferreira Pinto
author_facet Cecatto, Suzana Boltes
Soares, Matilde Monteiro
Henriques, Teresa
Monteiro, Eurico
Moura, Carla Isabel Ferreira Pinto
author_sort Cecatto, Suzana Boltes
collection PubMed
description OBJECTIVE: Pharyngocutaneous fistula is considered one of the major complications in the post-operative period after total laryngectomy/pharyngolaryngectomy, leading to a severe adverse impact for the patient and society. This study aimed to identify all the described pharyngocu-taneous fistula predictive factors and risk classifications. METHODS: Research was conducted to identify all the studies assessing predictive factors and risk classification for pharyngocutaneous fistula development published until April of 2012 (n = 846). The included studies were analyzed and data regarding their identification, methodological quality and results were recorded. RESULTS: A total of 39 studies were included. The variables consistently reported as associated with fistula development were nutritional deficiency, American Society of Anesthesiologists (ASA) classification, high consumption of alcohol, anemia and hypoalbuminemia, co-morbidities, advanced N stage, location and extent of primary tumor, pre-radiotherapy and pre-chemo- radiotherapy treatment, emergency tracheotomy, surgical margin status, surgery’s duration, surgeon’s experience, local complications of the wound, performance of intraoperative blood transfusion and relationship between nasogastric tube and oral feeding. CONCLUSION: Several risk factors were associated with pharyngocutaneous fistula formation in the included studies. However, there is still no consensus in the most pertinent selection. Only two classification systems were retrieved and they were not able to accurately predict pharyngocutaneous fistula. © 2014 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.
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spelling pubmed-94439752022-09-09 Predictive factors for the postlaryngectomy pharyngocutaneous fistula development: systematic review Cecatto, Suzana Boltes Soares, Matilde Monteiro Henriques, Teresa Monteiro, Eurico Moura, Carla Isabel Ferreira Pinto Braz J Otorhinolaryngol Review article OBJECTIVE: Pharyngocutaneous fistula is considered one of the major complications in the post-operative period after total laryngectomy/pharyngolaryngectomy, leading to a severe adverse impact for the patient and society. This study aimed to identify all the described pharyngocu-taneous fistula predictive factors and risk classifications. METHODS: Research was conducted to identify all the studies assessing predictive factors and risk classification for pharyngocutaneous fistula development published until April of 2012 (n = 846). The included studies were analyzed and data regarding their identification, methodological quality and results were recorded. RESULTS: A total of 39 studies were included. The variables consistently reported as associated with fistula development were nutritional deficiency, American Society of Anesthesiologists (ASA) classification, high consumption of alcohol, anemia and hypoalbuminemia, co-morbidities, advanced N stage, location and extent of primary tumor, pre-radiotherapy and pre-chemo- radiotherapy treatment, emergency tracheotomy, surgical margin status, surgery’s duration, surgeon’s experience, local complications of the wound, performance of intraoperative blood transfusion and relationship between nasogastric tube and oral feeding. CONCLUSION: Several risk factors were associated with pharyngocutaneous fistula formation in the included studies. However, there is still no consensus in the most pertinent selection. Only two classification systems were retrieved and they were not able to accurately predict pharyngocutaneous fistula. © 2014 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved. Elsevier 2014-07-10 /pmc/articles/PMC9443975/ /pubmed/24830977 http://dx.doi.org/10.5935/1808-8694.20140034 Text en © 2014 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/3.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
spellingShingle Review article
Cecatto, Suzana Boltes
Soares, Matilde Monteiro
Henriques, Teresa
Monteiro, Eurico
Moura, Carla Isabel Ferreira Pinto
Predictive factors for the postlaryngectomy pharyngocutaneous fistula development: systematic review
title Predictive factors for the postlaryngectomy pharyngocutaneous fistula development: systematic review
title_full Predictive factors for the postlaryngectomy pharyngocutaneous fistula development: systematic review
title_fullStr Predictive factors for the postlaryngectomy pharyngocutaneous fistula development: systematic review
title_full_unstemmed Predictive factors for the postlaryngectomy pharyngocutaneous fistula development: systematic review
title_short Predictive factors for the postlaryngectomy pharyngocutaneous fistula development: systematic review
title_sort predictive factors for the postlaryngectomy pharyngocutaneous fistula development: systematic review
topic Review article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9443975/
https://www.ncbi.nlm.nih.gov/pubmed/24830977
http://dx.doi.org/10.5935/1808-8694.20140034
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