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Complications following gastric transposition after total laryngo-pharyngectomy

1999; Elsevier BV; Volume: 25; Issue: 1 Linguagem: Inglês

10.1053/ejso.1998.0605

1532-2157

Shruti Dudhat, R. C. Mistry, Abdul R. Fakih,

Dysphagia Assessment and Management

AimsTo investigate restoration of the pharynx after total laryngo-pharyngectomy (TLP), one of the major problems in head and neck surgery.MethodsA retrospective analysis of 60 patients undergoing total laryngo-pharyngectomy with gastric transposition was performed between June 1991 and June 1996. The analysis focused on morbidity, mortality and long-term function following gastric transposition.ResultsThe post-operative mortality was 8.3% and the peri-operative morbidity 31.2%. The average hospital stay was 15 days. Immediate restoration of swallowing was achieved in 83% of patients.ConclusionsGastric transposition after total laryngo-pharyngectomy is a safe procedure and can be performed with low mortality, acceptable morbidity and good long-term function.