Published online by Cambridge University Press: 19 August 2009
Pharyngocutaneous fistula is a serious complication following total laryngectomy. We report a simple technique which is useful in assessing the adequacy of pharyngeal closure following total laryngectomy.
Installation of 1.5 per cent hydrogen peroxide into the oral cavity, while observing for leakage at the pharyngeal repair.
We have found this technique to be useful in 22 patients undergoing total laryngectomy with pharyngeal resection and neck dissection.
This method ensures that pharyngeal closure has been technically adequate.