Clinical experience with silicon pharyngeal tube for pharyngocutaneous fistula and cervical esophagus stenosis

Masayuki Tomifuji, Akihiro Shiotani, Takuji Takaoka, Yuko Mori, Takekatsu Fujimine, Kaoru Ogawa

Research output: Contribution to journalArticle

Abstract

Total laryngectomy or laryngopharyngectomy are commonly performed for the treatment of laryngeal cancer or hypopharyngeal cancer. However pharyngocutaneous fistula and cervical esophageal stenosis have been reported as postoperative complications of these procedures. We used a silicon pharyngeal tube in cases that developed pharyngocutaneous fistula and cervical esophageal stenosis. The pharyngeal tube was useful for controlling aspiration pneumonia and for starting oral feeding in a case of pharyngocutaneous fistula after a total laryngectomy. It was also helpful for starting oral feeding in a case with cervical esophageal stenosis after total laryngopharyngectomy and free jejunum interposition. This patient was able to maintain a good quality of life until re-operation. Adverse effects from the insertion of the tube included a foreign body sensation and pharyngeal pain that was tolerable with the use of NSAIDs for a short time. Silicon pharyngeal lubes are useful for the treatment of pharyngocutaneous fistula and cervical esophageal stenosis.

Original languageEnglish
Pages (from-to)530-534
Number of pages5
JournalJournal of Otolaryngology of Japan
Volume109
Issue number6
DOIs
Publication statusPublished - 2006 Jun

Keywords

  • Cervical esophageal stenosis
  • Pharyngocutaneous fistula
  • Silicon pharyngeal tube
  • Total laryngectomy

ASJC Scopus subject areas

  • Otorhinolaryngology

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