Malignant Tumor of the Larynx
Conditions
Brief summary
This study was conducted to evaluate the potential role of using the cervical fascia flap over the pharyngeal closure line to enhance healing and subsequently to decrease the incidence of pharyngocutaneous fistula after total laryngectomy.
Interventions
PROCEDURETotal laryngectomy
pharyngeal repair after total larygectomy
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* All consecutive patients who will undergo total laryngectomy for advanced laryngeal carcinoma in the study duration.
Exclusion criteria
* Presence of extra-laryngeal extension. * Patients undergoing partial pharyngectomy. * Previous neck irradiation. * Previous neck surgery. * Patients' refusal to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of pharyngocutaneous fistula after total laryngectomy | Four weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| subjective assessment of the swallowing function after surgery | three months | swallowing was evaluated subjectively by applying the Eating Assessment Tool (EAT-10) questionnaire |
| objective assessment of the swallowing function after surgery | Three months | swallowing was evaluated objectively by functional endoscopic evaluation of swallowing (FEES) |
Countries
Egypt
Outcome results
None listed