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Pharyngocutaneous fistula | Dr Shivakumar Thiagarajan | COMPLICON 2024 скачать в хорошем качестве

Pharyngocutaneous fistula | Dr Shivakumar Thiagarajan | COMPLICON 2024 6 месяцев назад

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Pharyngocutaneous fistula | Dr Shivakumar Thiagarajan | COMPLICON 2024

Sri Shankara Cancer Hospital & Research Centre, Bengaluru hosted The International Head & Neck Oncology Conference (COMPLICON) in August 2024. Various guests from all over India and the world were invited to share their expertise and experience on different head and neck cancers. Speaker: Dr. Shivakumar Thiagarajan Topic: Pharyngocutaneous fistula In this video, Dr. Shivakumar talks about: a. Understanding Pharyngocutaneous Fistula (PCF): Definition and Significance: PCF, a leakage of saliva through the surgical wound after laryngectomy, delays oral intake, prolongs hospitalization, increases costs, and significantly impacts quality of life, both physically and psychologically, while also hindering timely adjuvant treatment. b. Risk Factors for Pharyngocutaneous Fistula Development: PCF is multifactorial, with modifiable factors like low albumin and hemoglobin, and non-modifiable factors such as advanced stage, prior radiotherapy, and tumor subsite contributing to its occurrence. Identifying and addressing these risks is crucial for prevention. c. Clinical Presentation and Diagnosis of Pharyngocutaneous Fistula: PCF typically presents within the first week postoperatively but can occur later. Clinical signs include saliva leakage, neck edema, increased drain output, and fever. While contrast swallow studies can aid diagnosis, their sensitivity is limited, and dye tests alone are unreliable. d. Conservative Management Strategies for Pharyngocutaneous Fistula: Initial management often involves culture-based antibiotics, glycopyrrolate to reduce saliva, anti-inflammatories, nasogastric feeding, and crucial daily compressive sterile wound dressings to minimize the leak track and promote secondary healing. e. Surgical Intervention for Persistent Pharyngocutaneous Fistula: Surgical closure is considered if conservative measures fail after four weeks or earlier in cases of early, high-volume leaks or vessel exposure. Layered closure with or without vascularized flaps (pedicled or free) is employed to achieve definitive fistula closure. f. Preventive Measures and the Role of Vascularized Flaps: Meticulous surgical technique, tension-free closure, trimming devitalized mucosa, and considering onlay pedicled muscle flaps in high-risk cases, especially salvage laryngectomies, can help reduce PCF rates, with emerging evidence supporting their routine use. About the Event: This talk was part of the International Head & Neck Oncology Conference held on 23–24 August 2024 at Sri Shankara Cancer Hospital & Research Centre, a leading institute for cancer care and research in India. To stay updated on the latest cancer surgery techniques, expert lectures, and case discussions, please watch the full sessions in the playlist: Head & Neck COMPLICON 2 – Day 1    • Head & Neck COMPLICON 2024: Part 1 - DAY 1   About Sri Shankara Cancer Hospital: Located in the heart of Bengaluru, our hospital is recognized for its patient-first approach, top-quality medical infrastructure, and a team of dedicated oncologists working to provide the best possible cancer care for all. Like, share, and subscribe for more updates from our hospital—expert talks, inspiring patient stories, surgical advancements, and healthcare events. #MedicalOncologyConference #HeadAndNeckCancer #PharyngocutaneousFistula #LaryngectomyComplications #COMPLICON #SriShankaraCancerHospital #WoundHealing #SurgicalManagement #FistulaPrevention #PostoperativeCare #DrShivakumarThiagarajan

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