RESUMO
The authors presented own results concerning complications in wound healing after total laryngectomies. 59 total laryngectomies and 4 pharyngo-laryngectomies were performed. In 18 cases local and systemic complications were observed. Pharyngo-cutaneous fistulas developed in 15 patients. Therapeutic management was successful in all cases.
Assuntos
Neoplasias Laríngeas/cirurgia , Laringectomia/efeitos adversos , Laringe/cirurgia , Neoplasias Faríngeas/cirurgia , Faringe/cirurgia , Cicatrização , Adulto , Fatores Etários , Fístula/etiologia , Tecido de Granulação , Humanos , Neoplasias Laríngeas/patologia , Laringe/patologia , Masculino , Pessoa de Meia-Idade , Neoplasias Faríngeas/patologia , Faringe/patologia , TraqueotomiaRESUMO
The three cases of simultaneous reconstruction after some partial laryngectomies in patients with laryngeal cancer were presented. The indications to those operations were defined and the surgical technique was introduced. The important advantages from this technique was pointed out. Also a very good functional results and possibility of early extubation were emphasized. The possibility of some postoperative complications after this reconstruction were suggested. Based on our experience and literature the procedure was found as a good and useful surgical method.
Assuntos
Neoplasias Laríngeas/cirurgia , Laringectomia/métodos , Humanos , Laringectomia/efeitos adversos , Masculino , Pessoa de Meia-IdadeRESUMO
The case of skin defect reconstruction after pharyngolaryngectomy with simultaneous removal of cancer recidivism from tracheostomal region was presented. The method of preparation and suturing of the deltopectoral flap in place of skin defect was introduced. The defect after flap removal was covered by epidermis from the high. The simplicity of the procedure and high vitality of the flap, despite of the irradiation was emphasized.