Resumo

MURDOCH GONZALEZ, Raquel; GONZALEZ HERNANDEZ, Nélido; MACHIN GONZALEZ, Victoriano  e  VIEITO ESPINEIRA, Rodolfo. Fístulas faringo-cutáneas: Estudio de algunos factores que inciden en su aparición. Rev Cubana Cir [online]. 1998, vol.37, n.2, pp. 98-105. ISSN 1561-2945.

A retrospective and descriptive study aimed at examining some factors predisposing the formation of pharyngo-cutaneous fistulae in laryngectome patients was conducted. A sample of 195 patients who had been performed a total laryngectomy at the National Oncology and Radiobiology Institute from January, 1986 to December, 1993 was chosen. This posoperative complication came out in 50 % of patients and its high incidence seems to be related to the non systematic use of antibiotic prophylasis. Sepsis was an influential factor for the formation of fistula as well as the pharyngeal closure, which showed that the mechanical pharynx closure is superior to the hand closure. The posoperative anemia turned to be an important predisposing factor in the formation of pharyngo-cutaneous fistulae

Palavras-chave : FISTULA [surgery]; PHARYNX [surgery]; LARYNGECTOMY [methods]; LARYNGECTOMY [methods]; LARYNGEAL NEOPLASMS [surgery]; ANEMIA [complications]; POSTOPERATIVE COMPLICATIONS; ANTIBIOTICS.