Relevant bibliographies by topics / Laryngectomie reconstructive

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Laryngectomie reconstructive'

Author: Grafiati
Published: 4 June 2021
Last updated: 5 February 2022

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Journal articles on the topic "Laryngectomie reconstructive"

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Krajina, Z. "Vertical partial laryngectomy on demand." Journal of Laryngology & Otology 104, no. 11 (November 1990): 879–82. http://dx.doi.org/10.1017/s0022215100114239.

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AbstractThe author proposes the term ‘vertical partial laryngectomy on demand’ for all modifications of vertical laryngectomics (frontal, frontolateral, vertical and hemilaryngectomy). This term includes two conditions: the first is complete oncological removal of the tumour (proven by histological examination and with the use of magnification or the operating microscope during the operation); secondly, reconstruction of the laryngeal defect by various procedures. The author uses the sternohyoid fascia in vertical and frontolateral partial laryngectomies. From 120 operated cases, a five-year survival rate of 81 per cent was achieved. The fascia showed resistance to post-operative complications and irradiation.
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Djordjevic, Vladimir, Jovica Milovanovic, Zeljko Petrovic, Zoran Dudvarski, B. Petrovic, and P. Stankovic. "Radical surgery of the malignantlaryngeal tumors." Acta chirurgica Iugoslavica 51, no. 1 (2004): 31–35. http://dx.doi.org/10.2298/aci0401031d.

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Modem therapeutical protocols for treatment of T3 and T 4 malignomas of the larynx are not adjusted, because there are attempts to treat these diseases with non-operative methods (such as chemo- and radiotherapy) in order to preserve the organ. The aim of the study was to establish today's results of the surgical treatment of patients with T3 and T4 laryngeal malignoma. We studied the group of patients with laryngeal carcinoma, who had undergone total laryngectomy, during the period of eight years (1990-1997). The patients' data was submitted from medical documentation, it was filled in specially designed questionnaires and was statistically reviewed. During this eight-year-period. 1054 total laryngectomies were done. The five-years survival rate, established in the group of patients who had undergone total laryngectomiy is 308/794 (39%). In the patient group where total laryngectomy was salvage surgery after radiotherapy, the five-years survival rate is 47/172 (27%). In the patient group where total laryngectomy was salvage surgery after conservative or reconstructive surgery, the five-years survival rate is 28/84 (33%). Despite diagnostical and therapeutical achievements, prognosis for T3 and T4 malygnoma of the larynx was not significantly approved in the last few decades.
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Maclean, J., S. Cotton, and A. Perry. "Variation in surgical methods used for total laryngectomy in Australia." Journal of Laryngology & Otology 122, no. 7 (July 2008): 728–32. http://dx.doi.org/10.1017/s0022215108002119.

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AbstractDeglutition disorders (dysphagia) are common following total laryngectomy. As the aetiology of the disorder is poorly understood, its incidence is probably under-estimated. Dysphagia may result from many factors, including the type of laryngectomy surgery employed and the use of adjuvant treatments (e.g. radiotherapy and chemotherapy). Dysphagia may also be compounded by other co-morbid factors, such as ageing and depression.Aim:To investigate the methods of surgical closure used by Australian ENT and head and neck surgeons after undertaking total laryngectomy surgery.Method:In order to audit surgical variation, 56 short questionnaires were sent to all Australian ENT and head and neck surgeons who were registered members of the Australia and New Zealand Head and Neck Society. Twenty-eight questionnaires (50 per cent) were completed and returned.Results:Respondents reported using a variety of different reconstructive methods after total laryngectomy surgery. Specifically, there were differences in the type and levels of pharyngeal closure employed and the suturing techniques used.Conclusion:Currently, there is no scientific evidence to direct surgeons to the optimal pharyngeal reconstruction technique(s) ensuring for good swallowing results post-laryngectomy. An analysis of the effect of surgical reconstruction technique on laryngectomees' post-operative swallowing ability is needed, in order to provide evidence to determine optimal surgical techniques.
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Varghese, B. T., and P. Sebastian. "Treatment outcome in patients undergoing surgery for carcinoma larynx and hypopharynx: A follow-up study." Journal of Clinical Oncology 24, no. 18_suppl (June 20, 2006): 15545. http://dx.doi.org/10.1200/jco.2006.24.18_suppl.15545.

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15545 Background: In the Regional Cancer Centre (RCC) Trivandrum, India, carcinoma of the larynx account for approximately 5% of all new registries and carcinoma of the hypopharynx for another 3%. It is estimated that the division of surgical oncology RCC has performed about 200 laryngectomies since it’s beginning (1989). Currently i.e. after the year 2000,about 30–40 laryngectomies are estimated to be performed a year thus forming about 3–4% of overall major head and neck surgeries performed which is around 1000 cases per year. 80% of these surgeries are salvage procedures for failed radical radiation/chemoradiation. Aim: (1) To evaluate the role of surgery in disease free and overall survival. (2) To evaluate the prognostic significance of factors that generally affect the surgical outcome in laryngectomies. (3) To evaluate the morbidity associated with salvage surgeries and laryngectomies involving complex reconstructions. (4) To follow up all the patients and evaluate quality of life. (5) To evolve a protocol for selecting cases for primary and salvage laryngectomy. (6) To evolve a protocol for reconstructing the pharynx after laryngectomies. Methods: All patients who have undergone laryngectomy at the Division of Surgical Oncology RCC from June 1995 to Dec 2005 are included in the study which retrospectively records the age and sex distribution initial TNM staging and staging of recurrence/ residual disease at the time of surgical salvage, the indications and types of laryngectomy, and reconstructive options used and analyze the therapeutic outcome, disease free survival (DFS), overall survival (OS), voice preservation, post operative voice rehabilitation and quality of life. Major outcome measures Complications and factors contributing to it, DFS, OS, Voice Preservation, Postoperative rehabilitation and Quality of life. Results and Conclusions: An update of the results as on 31/12/05 the final conclusions and recommendations will be presented.( The study is currently on going with the Institutional Review Board (IRB) and the local Ethical committee (EC) clearance already obtained.and final document is expected to to be prepared by March 2006). No significant financial relationships to disclose.
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Jovic, Rajko. "One thousand laryngectomies performed at the Novi Sad University ENT clinic: Historical review and important data on treatment of laryngeal tumors." Medical review 58, no. 1-2 (2005): 89–93. http://dx.doi.org/10.2298/mpns0502089j.

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Introduction. The first EKT Department in Novi Sad was established in 1926. In I960 the ENT Clime became a part of the Facility of medicine Novi Sad and treatment of malignant disease started in 1973 at the Laryngology Department. Surgical treatment of malignant laryngeal tumors. Treatment of laryngeal cancers in Novi Sad started in 1960's. Until 1971, the treatment of choice was radiotherapy, and surgical treatment started in 1971, when the first laryngectomy was performed. After the first surgery, 31 years have passed until we have reached the number of one thousand performed laryngectomies at ENT Clinic in Novi Sad. Period: 1971-1988. During this period, 138 laryngectomies were performed at ENT Clinic. Total laryngectomies were done as salvage surgeries in 136 cases, and 2 patients underwent functional partial lariigectomies. Direct laryngomicroscopy was introduced by Zivko Majdevac in 1972. Oncology consilium was founded. Period: 1990-2002. New protocol was adopted. Surgery became me primary treatment of laryngeal carcinoma, while radiotherapy remained a valid therapeutic alternative. All known surgical techniques were introduced, including Pearson's near-total laryngectomy. In this period 834 patients were operated, and 873 laryngectomies were performed, out of which 388 total laryngectomies. Year after year the number of patients increased and in 2002. 90 laryngectomies were performed. The number of functional reconstructive operations has increased to 67.8% in comparison to 32.2 % of total laryngectomies. .
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Hagen, Rudolf, Burkard Schwab, and Sabine Marten. "Nasotracheal Airway-Oropharyngeal Alimentary Canal: A Microvascular Technique for Reconstruction of the Upper Airway after Total Laryngectomy." Annals of Otology, Rhinology & Laryngology 104, no. 4 (April 1995): 317–22. http://dx.doi.org/10.1177/000348949510400412.

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Every patient who has to be laryngectomized because of a carcinoma is concerned with the loss of his or her voice and the presence of a permanent tracheostoma in his or her neck. While various methods for producing a substitute voice are available (esophageal voice, voice devices, voice-shunt operations with or without voice prosthesis), it is usually impossible after laryngectomy to reconstruct a complete upper airway so that the tracheostoma can be closed. One potential method for reconstruction of the airway is its division into a nasotracheal airway and an oropharyngeal alimentary canal. Ten Alsatian dogs were laryngectomized, and a microvascularly anastomosed jejunal autograft was inserted as a junction between the tracheal stump and the circularly exposed nasopharynx, while the pharynx was reconstructed separately. One week postoperatively, oral feeding could be started again; at the same time breathing was possible via the reconstructed nasotracheal airway, which was kept open by insertion of a silicone tube. By means of this microvascular technique, a complete nasal airway could be reconstructed surgically after laryngectomy.
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Sokoya, Mofiyinfolu, Arash Bahrami, Aurora Vincent, Jared Inman, Moustafa Mourad, Raja Sawhney, and Yadranko Ducic. "Pharyngeal Reconstruction with Microvascular Free Tissue Transfer." Seminars in Plastic Surgery 33, no. 01 (February 2019): 078–80. http://dx.doi.org/10.1055/s-0039-1677877.

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AbstractReconstruction of pharyngoesophageal defects after total laryngectomies and extirpation of hypopharyngeal and upper esophageal carcinomas presents a challenging task. Goals of reconstruction include adequate voice rehabilitation and restoration of normal swallowing. The reconstructive armamentarium contains many options for reconstruction and creation of a new upper digestive tract. This review article focuses on the most commonly used free tissue transfer options for the reconstruction of these defects, with an assessment of their advantages and disadvantages.
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Liu, Chen, Paul H. Ward, and Lawrence Pleet. "Imbrication Reconstruction following Partial Laryngectomy." Annals of Otology, Rhinology & Laryngology 95, no. 6 (November 1986): 567–71. http://dx.doi.org/10.1177/000348948609500605.

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Experience over a 16-year period with 38 patients who underwent partial laryngectomy with imbrication reconstruction is reviewed. We have found this technique to be an expeditious and highly successful means of eradicating T1 or T2 glottic cancer. The use of the patient's own full-thickness, adjacent normal tissue with imbrication of cartilage produces an adequate airway, an almost normal-appearing larynx, and a remarkable posttreatment voice quality, better results than from most cordectomies or vertical hemilaryngectomies. It is valuable as a salvage procedure after full-course radiation. Imbrication laryngoplasty is an alternative and a preferred modality for treatment of young people with early glottic carcinoma for whom the possible carcinogenic properties of radiation must be considered. The survival results are comparable with the more extensive vertical laryngectomies.
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Gupta, Devendra Kumar, Rajeev Chugh, Sanajeet Kumar Singh, and Seema Pati. "Use of the facial artery-based cutaneous island flap (melo-labial flap) for reconstruction of the neopharynx following total laryngectomy: a novel technique." BMJ Case Reports 12, no. 8 (August 2019): e230712. http://dx.doi.org/10.1136/bcr-2019-230712.

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Reconstruction of neopharynx after total laryngectomy is a challenging task. Various locoregional flaps like pectoralis major myocutaneos/ latismus dorsi flaps and free flaps have their own limitations and advantages. To overcome this, we used facial artery-based cutaneous island flap (melo-labial flap) for reconstruction of the neopharynx following total laryngectomy (DK Gupta technique). This flap is thin, pliable, without any gravitational pull and without any risk of anastomosis failure and hence has advantage of both locoregional and free flaps and eliminates the limitations of both. It is simple, reproducible and reliable reconstructive option for neopharynx. We present a case report, review of literature and this novel technique for an excellent outcome and recommend to use it as the new workhorse of neopharyngeal reconstruction.
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Ragbir, M., J. S. Brown, and H. Mehanna. "Reconstructive considerations in head and neck surgical oncology: United Kingdom National Multidisciplinary Guidelines." Journal of Laryngology & Otology 130, S2 (May 2016): S191—S197. http://dx.doi.org/10.1017/s0022215116000621.

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AbstractThis is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. The reconstructive needs following ablative surgery for head and neck cancer are unique and require close attention to both form and function. The vast experience accrued with microvascular reconstructive surgery has meant a significant expansion in the options available. This paper discusses the options for reconstruction available following ablative surgery for head and neck cancer and offers recommendations for reconstruction in the various settings.Recommendations• Microsurgical free flap reconstruction should be the primary reconstructive option for most defects of the head and neck that need tissue transfer. (R)• Free flaps should be offered as first choice of reconstruction for all patients needing circumferential pharyngoesophageal reconstruction. (R)• Free flap reconstruction should be offered for patients with class III or higher defects of the maxilla. (R)• Composite free tissue transfer should be offered as first choice to all patients needing mandibular reconstruction. (R)• Patients undergoing salvage total laryngectomy should be offered vascularised flap reconstruction to reduce pharyngocutaneous fistula rates. (R)
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Dissertations / Theses on the topic "Laryngectomie reconstructive"

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Mayaud, Fontvieille Laure. "La laryngectomie reconstructive de Kambic-Tucker." Saint-Etienne, 1991. http://www.theses.fr/1991STET6211.

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Vesselle, Pierre. "La laryngectomie frontale anterieure reconstructive : reflexions a propos de 27 cas operes au service o.r.l. du c.h.u. de nancy-brabois." Nancy 1, 1989. http://www.theses.fr/1989NAN11046.

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Tong, Xuan Thang. "Étude appliquée de la laryngectomie partielle reconstructive par crico-hyo-épiglottoplastie dans les cancers du larynx : transposabilité de la technique chirurgicale de “chep modifiée pignat” du CHU de la Croix-Rousse à l’Hôpital National d’ORL du Vietnam." Lyon 1, 2009. http://www.theses.fr/2009LYO10001.

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Introduction : Cette nouvelle approche de la laryngectomie sub-totale reconstructrice (L. S. R) (conservation de la hauteur pharyngo-laryngée et de l’armature cartilagineuse, absence si possible de trachéotomie) permet l’utilisation de cette technique chez les lésions des étages différents du larynx. Par ailleurs, le caractère modulable de la résection fait que la L. S. R peut s’adresser à certaines lésions volumineuses (T3-T4) et aux personnes âgées. Méthodes : 125 patients opérés entre 2000 et 2006 sont présentés : Les résultats carcinologiques sont exprimés de manière classique. Les résultats fonctionnels sont présentés sur la morbidité péri-opératoire, les délais d’ablation de la sonde naso-gastrique et la durée d’hospitalisation. Résultats : Les résultats carcinologiques sur le contrôle local et la survie sur les lésions sont parfaitement comparables à ceux des traitements classiques. Le délai moyen d’hospitalisation est de trois semaines, la grande majorité des patients peut reprendre une alimentation normale au départ du service. Conclusion : La laryngectomie sub-totale reconstructrice est une intervention fiable sur le plan carcinologique et cette technique régulièrement pratiquée en France, commence à être appliquée au Vietnam avec les mêmes résultats fonctionnels et carcinologiques
Introduction : This new approach of sub-total laryngectomy with reconstruction (S. L. R) (conservation of the pharyngo-laryngeal distance and of the cartilage armature, with or without tracheotomy, if it is possible) permits to use the technic to the lesion in different stages of the larynx. Further more, by the flexible character of the resection, S. L. R can be indicated to certain large tumors (T3-T4) and to aging peoples. Method : 125 patients undergone this technic from 2000 to 2006 are presented : The carcinological results are noted by classical mode. The functional results are noted by the per-operative morbidity, the duration of the ablation of the N-G tube and the duration of the hospitalisation. Results : The carcinological results based on the loco-regional control and the survival rate based on the lesion are comparable with the classical treatments. The duration of the hospitalisation is 3 weeks, almost of patients can reestablish his alimentation normally when they discharge hospital. Conclusion : The sub-total laryngectomy with reconstruction is one reliable intervention in the domain of carcinology and this technic is popular in France and now, it begins to be applied in Viet nam with the same carcinological and functional results
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DELMOTTE, JEAN. "La pharyngo-laryngectomie totale circulaire avec reconstruction par visceroplastie." Lille 2, 1988. http://www.theses.fr/1988LIL2M176.

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Toussaint, Bruno. "Cancers glottiques et chirurgie partielle : résultats carcinologiques et suites fonctionnelles concernant les laryngectomies fronto-latérales, les laryngectomies frontales antérieures, et les laryngectomies reconstructives par crico-hyoido-epiglottopexie." Nancy 1, 1992. http://www.theses.fr/1992NAN11240.

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Lansiaux, Vincent. "Troubles de deglutition et troubles respiratoires apres laryngectomie reconstructrice avec crico-hyoido-pexie." Lille 2, 1993. http://www.theses.fr/1993LIL2M200.

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Maurice, Norbert. "Les laryngectomies sub-totales reconstructives, leur place dans le traitement du cancer du larynx (intervention de Labayle, Majer-Piquet, Majer-Piquet modifiée par B. Guerrier) : étude rétrospective de 181 cas." Montpellier 1, 1993. http://www.theses.fr/1993MON11191.

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Espitalier, Florent Malard Olivier. "Reconstruction hypopharyngée par lambeau musculo-cutané pédiculé de grand pectoral en "fer a cheval" après pharyngo-laryngectomie totale circulaire à propos de 41 cas /." [S.l.] : [s.n.], 2008. http://castore.univ-nantes.fr/castore/GetOAIRef?idDoc=46481.

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Zeferino, Glaucia Helena. "Reconstrução da transição faringoesofágica com segmento de jejuno transferido com técnicas de microcirurgia vascular." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/5/5132/tde-28012009-134916/.

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A reconstrução microcirúrgica de faringe e esôfago com jejuno é uma das opções para a reparação de defeitos resultantes de faringolaringectomias. Suas principais vantagens são: o diâmetro da alça jejunal é compatível com o diâmetro das bocas faríngea e esofágica, apresenta menos estenose do que reconstruções cutâneas e há menos contaminação do que quando se emprega o cólon. Entretanto, o pedículo vascular é, por vezes, curto; além disso, as paredes flácidas do intestino delgado e sua secreção mucosa dificultam a adaptação de prótese fonatórias. Finalmente, é necessária uma laparotomia para a obtenção do segmento jejunal, o que aumenta a potencial morbidade operatória. O objetivo deste trabalho foi avaliar de forma retrospectiva os aspectos técnicos, mobi-mortalidade e resultados funcionais de uma série de doentes submetidos a este método reconstrutivo, numa única instituição. No período de 1989 a 2000, 35 pacientes do sexo masculino, com média de idade de 55 anos, foram submetidos à reconstrução faringoesofágica com retalho microcirúrgico de jejuno, no Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Trinta e quatro doentes eram portadores de tumores malignos do trato aerodigestivo alto, e um sofreu um ferimento cervical por arma de fogo. Onze casos foram previamente submetidos à radioterapia. A reconstrução foi imediata na maioria dos casos (85,7%). Através de laparotomia mediana supra-umbilical, escolheu-se segmento de alça jejunal de tamanho compatível, situado de 30 a 50 cm do ângulo do Treitz e nutrido por ramos longos dos vasos mesentéricos superiores, atentando-se para preservar a continuidade da arcada vascular primária em todo o segmento a ser transplantado. Este foi transposto para o seu leito definitivo sempre em posição isoperistáltica. Obteve-se um restabelecimento do trânsito digestivo alto em 84,0% dos casos. Houve perda do retalho em 14%, e a taxa de mortalidade foi de 2,9%, ocasionada por abdome agudo obstrutivo. O resultado funcional foi avaliado através de escala de pontuação de Schechter, incluindo parâmetros como deglutição, voz e peso corpóreo. Em 45% dos casos, observou-se uma pontuação entre 5 e 6, evidenciando uma boa qualidade de reabilitação. Em virtude da gravidade dos doentes e da magnitude dos atos operatórios, concluiu-se que a reconstrução faringoesofágica com retalho microcirúrgico jejunal foi um método exeqüível em nosso meio, oferecendo uma boa qualidade de reabilitação funcional, com morbi-mortalidade aceitável
Microsurgical reconstruction of the esophagus and pharynx with a jejunal segment is one of the current options available for repairing defects caused by pharyngolaryngectomies. Main advantages of this technique are: compatible diameters of the jejunal segment with the pharyngeal and esophageal openings, lower incidence of stenosis when compared to cutaneous reconstructions, and less contamination in relation to techniques using colonic fragments. Nevertheless, the vascular pedicle is sometimes too short and the flaccid walls of the jejunum associated with its mucous secretion render adaptation to phonatory prosthesis more difficult. Finally, operative morbidity may be increased due to the need for laparotomy in order to obtain the jejunal segment. The aim of this work was to evaluate, in a retrospective fashion, the technical aspects, morbi-mortality and functional results of a series of patients submitted to this reconstructive method at a single institution. During the period of 1989 to 2000 a total of 35 male patients with an average age of 55 years received a microsurgical flap of the jejunum for pharyngoesophageal reconstruction, at the Hospital das Clínicas of São Paulo University Medical School. Thirty four patients had malignant tumors of the upper aerodigestive tract and one had a injury. Eleven cases had been previously submitted to radiotherapy. The majority of patients (85.7%) underwent reconstruction immediately following ablative surgery. By means of median supraumbilical laparotomy an intestinal segment located 30 to 50 cm away from the angle of Treitz was chosen taking into note that it had to be nourished by long branches of the superior mesenteric vessels and to also maintain its continuity to the primary vascular arcade throughout the segment to be transplanted. The segment was transposed to its definitive vascular bed always respecting an isoperistaltic position. Functional effective restoration of the higher digestive transit was possible in 84.0% of cases. Graft loss occurred in 14%, and the mortality rate was of 2.9%, caused by obstructive acute abdomen. Functional results were evaluated according to the Schechter scoring scale, where parameters such as swallowing, voice and weight are taken into account. In 45% of the cases the scores were between 5 and 6, representing good repairing quality. Considering the degree of severity of these patients and the magnitude of the surgical procedures, we concluded that pharyngoesophageal reconstruction utilizing microsurgical jejunal flaps is a feasible method with good functional rehabilitation results and acceptable morbidity and mortality rates for our patient population
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Books on the topic "Laryngectomie reconstructive"

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Agarwal, Anil, Neil Borley, and Greg McLatchie. ENT. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199608911.003.0014.

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This chapter on ENT outlines procedures like aural microsuction, nasal endoscopy, nasolaryngoscopy, pharyngoscopy, microlaryngoscopy, Dix Hallpike test and Epleu manoeuvre, nasal cautery, reduction of nasal fracture, drainage of orbital abscess, drainage of a peritonsillar abscess (Quincy), sphenopalatine artery ligation, biopsy of oral lesion, changing tracheostomy tube, removal of foreign body from the nose of a child, myringotomy, and insertion of grommet. Operations included are myringoplasty, tympanoyomy and tympanoplasty, excision of external canal osteoma/exostosis, cortical mastoidectomy, mastoid exploration, cochlear implantation, pinnaplasty, stapedectomy and ossciculoplasty, septoplasty, middle meatal antrostomy, nasal polypectomy, ethmoidectomy, septorhinoplasty, dacrocystorhinostomy (DCR), Caldwell–Luc, tracheostomy, excision of neck node, branchial cyst excision, excision of thyroglossal cyst, uvulopalatopharyngoplasty, parotidectomy, submandibular gland excision, neck dissection, total laryngectomy, tonsillectomy, adenoidectomy, and laryngo-tracheal reconstruction.
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Book chapters on the topic "Laryngectomie reconstructive"

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Sahovaler, Axel, Danny J. Enepekides, Kevin M. Higgins, and Ralph W. Gilbert. "TPFF Augmentation of Primary Pharyngeal Closure Following Total Laryngectomy." In Clinical Scenarios in Reconstructive Microsurgery, 1–9. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-319-94191-2_27-2.

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Nicolaescu, Alexandru, Șerban V.G. Berteșteanu, Raluca Grigore, Mihnea Cojocărița-Condeescu, Bogdan Popescu, Catrinel Simion-Antonie, Paula Bejenaru, and Simona Gloria Munteanu. "Pharyngocutaneous Fistulas Following Total Laryngectomy." In Wound Healing [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.97848.

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Total laryngectomy is still the final therapeutic solution in cases of locally advanced laryngeal cancer, as well as in cases of therapeutic failure of organ-sparing surgery or radiation therapy. Following excision of the larynx, the remaining pharynx is reconstructed to obtain continuity of the upper digestive tract. One of the most common complications in these patients, despite constant refinement of the procedure, is the development of a pharyngo-cutaneous fistula. These fistulas prolong hospital stay and often require a second surgical procedure, increasing morbidity and cost for the patient, while diminishing his quality of life. Some risk-factors have been identified, but only some may be corrected before surgery to lower this risk. Managing the fistula once present depends on multiple factors, essential being the size of the fistula as well as the position and concomitant factors, with options ranging from conservative measures to aggressive reconstructive surgery with local miocutaneous flaps. Modern vocal rehabilitation with T.E.P. (tracheo-esophageal puncture) and vocal prosthesis placement presents a new challenge – because of the risk of developing a tracheo-esophageal fistula, with an even higher risk for the patient because of tracheal aspiration. Understanding healing mechanisms of these structures is key to proper management of this complication.
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Yu-Wai, Jimmy, and Gregory Ian Siu Kee Lau. "Effects of Radiotherapy on Pharyngeal Reconstruction After Pharyngo-Laryngectomy." In Frontiers in Radiation Oncology. InTech, 2013. http://dx.doi.org/10.5772/56604.

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Conference papers on the topic "Laryngectomie reconstructive"

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Cao, Beiming, Nordine Sebkhi, Arpan Bhavsar, Omer T. Inan, Robin Samlan, Ted Mau, and Jun Wang. "Investigating Speech Reconstruction for Laryngectomees for Silent Speech Interfaces." In Interspeech 2021. ISCA: ISCA, 2021. http://dx.doi.org/10.21437/interspeech.2021-1842.

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Sharifzadeh, Hamid, Hanie Mehdinezhad, Jacqueline Alleni, Ian McLoughlin, and Iman Ardekani. "Formant smoothing for quality improvement of post-laryngectomised speech reconstruction." In 2017 International Conference on Orange Technologies (ICOT). IEEE, 2017. http://dx.doi.org/10.1109/icot.2017.8336076.

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Hackenberg, S., A. Scherzad, N. Kleinsasser, and R. Hagen. "Laryngeal reconstruction for voice restoration after laryngectomy – a benefit for the patient?" In Abstract- und Posterband – 89. Jahresversammlung der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie e.V., Bonn – Forschung heute – Zukunft morgen. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1640031.

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Bogdanov, V., M. Herzog, D. Grafmans, and T. Makridis. "Functional laryngeal reconstruction with costal cartilage and free radial graft after 2/3 laryngectomy." In Abstract- und Posterband – 89. Jahresversammlung der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie e.V., Bonn – Forschung heute – Zukunft morgen. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1639984.

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