• J Med Assoc Thai · Mar 2013

    Comparative Study

    Comparison of outcomes for staple and conventional closure of the pharynx following total laryngectomy.

    • Phakdee Sannikorn and Natita Pornniwes.
    • Department of Otolaryngology Head & Neck Surgery, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand. drpakdee@gmail.com
    • J Med Assoc Thai. 2013 Mar 1; 96 Suppl 3: S89-93.

    BackgroundClosure of the wall of the pharynx is an important step in the total laryngectomy operation. An inadequate closure results in tissue contamination, wound infection, and the development of pharyngo-cutaneous fistula.ObjectiveTo study the outcomes of neo-pharyngeal closure after total laryngectomy by stapler compared with conventional techniques.Material And MethodA retrospective descriptive study of patients undergoing total laryngectomy with either pharyngeal stapling or suturing between January 2007 and December 2011.ResultsTwenty-six patients had pharyngeal stapling, while another twenty-six had a conventional pharyngeal closure. The operative time was significantly less in the stapler group (p < 0.001).ConclusionPharyngeal stapling might be an alternative technique for total laryngectomy.

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