laryngopharyngeal fistula repair

The throat of the throat is often caused by the cracking of wound infection after total laryngectomy. Because saliva leakage prevents eating, it should be repaired. Treatment of diseases: laryngeal cancer Indication Wound infection is broken after total laryngectomy. Contraindications Can not tolerate the operator. Preoperative preparation Before the repair, the wound is clean and there is no acute inflammation, so as not to affect the healing. Surgical procedure According to the size of the nozzle, the following methods are used: 1. The diameter of the cornice is less than 2cm. According to the width of the mouth, an arc-shaped incision is made on both sides of the mouth of the mouth. The flap is separated along the incision. The flap is used as the base, and the flap is turned over to the fistula. Repair the lining of the cornice. The subcutaneous tissue on the outside of the incision is relaxed, and then the skin is pulled to the midline suture to cover the lining flap. 2. The diameter of the mouth is about 3cm. According to the above method, a flap inversion is made on both sides of the fistula as a lining, and then a tongue-shaped sliding flap is placed on the side of the fistula to cover the lining. The suture was sutured with a silk thread and the subcutaneous tissue around the original tongue-shaped flap was released, and the wound was closed to close the wound. 3. When the mouth is large and it is not easy to repair by the above method, the pedicle tube can be used for repair. Make a pedicle tube at the neck next to the mouth. After 3 weeks, the lining was made on both sides of the mouth. The lower end of the skin tube was cut, and the lining was sutured after the opening. After 3 weeks, if the repaired area flap survives, the pedicle can be cut. complication Blood infection.