Role of Cervical Fascia Flap in Decreasing the Incidence of Pharyngocutaneous Fistula After Total Laryngectomy

Mansoura University50 enrolled

Overview

This study was conducted to evaluate the potential role of using the cervical fascia flap over the pharyngeal closure line to enhance healing and subsequently to decrease the incidence of pharyngocutaneous fistula after total laryngectomy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Malignant Tumor of the Larynx

Interventions

Total laryngectomyPROCEDURE

pharyngeal repair after total larygectomy

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * All consecutive patients who will undergo total laryngectomy for advanced laryngeal carcinoma in the study duration. Exclusion Criteria: * Presence of extra-laryngeal extension. * Patients undergoing partial pharyngectomy. * Previous neck irradiation. * Previous neck surgery. * Patients' refusal to participate in the study.

Locations (1)

Faculty of Medicine, Mansoura University

Al Mansurah, Dakahlia Governorate, Egypt

Outcomes

Primary Outcomes

incidence of pharyngocutaneous fistula after total laryngectomy

Time frame: Four weeks

Secondary Outcomes

subjective assessment of the swallowing function after surgery

swallowing was evaluated subjectively by applying the Eating Assessment Tool (EAT-10) questionnaire

Time frame: three months

objective assessment of the swallowing function after surgery

swallowing was evaluated objectively by functional endoscopic evaluation of swallowing (FEES)

Time frame: Three months

Data from ClinicalTrials.gov

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