Modified Continuous Mucosal Connell Suture for the Pharyngeal Closure After Total Laryngectomy: Zipper Suture

Clinical and Experimental Otorhinolaryngology
Mehmet HakseverSuay Ozmen

Abstract

Pharyngocutaneous fistula is a serious complication after total laryngectomy, and there are some risk factors stated in the literature. The surgical suture techniques are not studied so much. The aim of this study is to evaluate the effectiveness of 'modified continuous mucosal Connell suture' on the incidence of pharyngocutaneous fistula after total laryngectomy. This is a retrospective case series study based at a tertiary center with 31 patients who underwent total laryngectomy between July 2011 and December 2013. Pharyngocutaneous fistula formation after total laryngectomy was evaluated with the patients who underwent modified continuous mucosal Connell suture for pharyngeal repair. Pharyngocutaneous fistula was observed in only one patient (3.2%) who had a history of previous radiotherapy, and it was spontaneously healed within 6 days by conservative treatment. We defined a new suture technique for the pharyngeal repair after total laryngectomy. This technique is a simple modification of continuous mucosal Connell suture. We named it as zipper suture. It is effective in the prevention of pharyngocutaneous fistula for pharyngeal reconstruction after total laryngectomy.

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Citations

Sep 10, 2020·Clinical and Experimental Otorhinolaryngology·Myung Jin BanWon Shik Kim
Feb 27, 2020·Ear, Nose, & Throat Journal·Emilien LemaireAgnès Dupret-Bories
Jun 14, 2017·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Asok K SahaNirmalya Roy
Jul 1, 2020·The Annals of Otology, Rhinology, and Laryngology·Mojtaba Maleki DelarestaghiZhaleh Faham
Mar 19, 2021·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Emily C DeaneDonald W Anderson

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