Hyperbaric oxygen therapy as an alternative to surgery for non-healing pharyngocutaneous fistula

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• 作者：Rani Abu Eta ; Ephraim Eviatar ; Haim Gavriel
• 关键词：Pharyngocutaneous fistula ; Hyperbaric oxygen therapy ; Treatment ; Surgery ; Deglutition ; Deglutition disorders
• 刊名：European Archives of Oto-Rhino-Laryngology
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：273
• 期：11
• 页码：3857-3861
• 全文大小：406 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Otorhinolaryngology
  Neurosurgery
  Head and Neck Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1434-4726
• 卷排序：273

文摘

The aim of the study is to examine the utilization of hyperbaric oxygen treatment (HBOT) as an alternative to surgical treatment for non-healing postoperative phayngocutaneous fistula (POPCF). A retrospective study was conducted between 2012 and 2014 of referred patients who had failed conservative treatment for POPCF at other medical centers. Reevaluation at our department was followed by therapeutic management including daily HBOT. Eight male patients with a mean age of 62.3 years were included. The average period of conservative treatment was 1 month before admittance to our department. All patients were managed with HBOT and local debridement. Closure of the POPCF was proved by a barium swallow test in seven patients (87.5 %). HBOT is recommended for patients who have failed conservative treatment for POPCF post-laryngectomy, due to a high rate of successful (87.5 %) closure and should be considered as an alternative to surgical treatment.