This study analyzes the postoperative complications and the functional results in 61 patients who underwent total laryngectomy with partial or total (circumferential) pharyngectomy reconstructed with a pectoralis major myocutaneous flap, in relation to the use of the Montgomery Salivary Bypass Tube (MSBPT).
There were no significant differences regarding frequency of postoperative cervical complications in relation to the use of the MSBPT.
The median hospital stay for patients without the MSBPT (36 days) was significantly higher than that for patients with the MSBPT (25 days).
Although the MSBPT did not modify the rate of complications at the cervical level, it did reduce their severity.
A financial study showed the cost-effectiveness of using the MSBPT.
Systematic use of the MSBPT is recommended after total laryngectomy with partial or total pharyngectomy reconstructed with a pectoral is major myocutaneous flap.
Mots-clés Pascal : Reconstruction, Hypopharynx, Dérivation, Tube, Analyse avantage coût, Lambeau musculocutané, Muscle grand pectoral, Traitement, Economie, Homme, Chirurgie plastique, Chirurgie, Tube salivaire Montgomery
Mots-clés Pascal anglais : Reconstruction, Hypopharynx, Bypass, Tube, Cost benefit analysis, Musculocutaneous flap, Pectoralis major muscle, Treatment, Economy, Human, Plastic surgery, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0492052
Code Inist : 002B30A04B. Création : 22/03/2000.