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Hydrogen peroxide aids assessment of pharyngeal closure after laryngectomy

Published online by Cambridge University Press:  19 August 2009

J R Tysome ,
J P Jeannon  and
R Simo
J R Tysome*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Guy's and St Thomas' Hospital NHS Foundation Trust, London, UK
J P Jeannon
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Guy's and St Thomas' Hospital NHS Foundation Trust, London, UK
R Simo
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Guy's and St Thomas' Hospital NHS Foundation Trust, London, UK
*
Address for correspondence: Mr James R Tysome, Department of Otolaryngology – Head and Neck Surgery, Guy's Hospital, St Thomas' Street, London SE1 9RT, UK. E-mail: jamestysome@yahoo.com
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Abstract

Objective:

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.

Method:

Installation of 1.5 per cent hydrogen peroxide into the oral cavity, while observing for leakage at the pharyngeal repair.

Results:

We have found this technique to be useful in 22 patients undergoing total laryngectomy with pharyngeal resection and neck dissection.

Conclusion:

This method ensures that pharyngeal closure has been technically adequate.

Keywords

LaryngectomyFistulaHydrogen Peroxide
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 2 , February 2010 , pp. 204 - 205
Copyright
Copyright © JLO (1984) Limited 2009

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References

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