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Ann Thorac Surg. 2012 Aug;94(2):e37-8. doi: 10.1016/j.athoracsur.2012.01.055. Epub 2012 May 10.

Repair of nonmalignant postlaryngectomy pharyngotracheal fistula.

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  • 1Division of Cardiothoracic Surgery, Department of Otolaryngology, University of California, Davis Medical Center, Sacramento, California 95817, USA.


The repair of nonmalignant postlaryngectomy pharyngotracheal fistulae is not commonly encountered in medical literature. This rare complication can occur years after laryngectomy for cancer and reconstruction of a neopharynx, and is often associated with adjuvant radiation to the area, making the choice of method for surgical repair critical for success. Optimally, a pedicled myofascial flap from the pectoralis major muscle, from outside the field of radiation, is used to reinforce the repair of the fistula. We present 2 rare cases.

Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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