Mapping the Risk Factors of Pharyngocutaneous Fistula After Salvage Laryngectomies

xlomafota13 shared this article with you from Inoreader Mapping the Risk Factors of Pharyngocutaneous Fistula After Salvage Laryngectomies Via Otolaryngology Indian Abstract To evaluate the postoperative surgical wound infection prevalence rates of patients undergoing SL, identify the causative organism and determine predisposing factors leading to infection. A retrospective study of all consecutive patients who underwent salvage total laryngectomy at our unit between 2015 and 2020 was performed. The following parameters were also analyzed: age, smoking history, pre and postoperative albumin level, history of radio and chemo-radiotherapy, reconstruction with pectoralis flap, intraoperative tracheoesophageal puncture, and tumor stage. A total of 12 of the 21 patients (57%) experienced a postoperative infection after SL during the study period. 82% of those patients whose preoperative albumin level below 3gm/dl developed postoperative infection. There is a significant increase (p < 0.01) in infection in patients with N1 and 2 stage tumor (68%) compared with the N0 stage tumors (40%). Multivariate analysis showed that preoperativ e albumin and nodal stage were significant risk factors for postoperative infection. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.