Saudi Journal of Gastroenterology
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CASE REPORT
Year : 2012  |  Volume : 18  |  Issue : 1  |  Page : 62-67

Successful closure of pharyngo-cutaneous and phayryngo-tracheal fistulas using removable hypopharyngeal stent after laryngectomy for laryngeal carcinoma


1 Department of Gastroenterology and Hepatology, Head and Neck Surgery, the University of Alabama in Birmingham, Birmingham Alabama
2 Department of Radiology, Head and Neck Surgery, the University of Alabama in Birmingham, Birmingham Alabama
3 Division of Otolaryngology, Head and Neck Surgery, the University of Alabama in Birmingham, Birmingham Alabama

Correspondence Address:
Mohamad A Eloubeidi
Professor of Medicine, American University of Beirut Medical Center, P.O. Box 11-0236 Riad El Solh 110 72020, Beirut, Lebanon

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.91730

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Placement of removable stents to close pharyngo-cutaneous and tracheo-pharyngeal fistulas after laryngectomy has not been reported before. This case presents the feasibility of removable esophageal stent in closing pharyngo-cutaneous and tracheo-pharyngeal fistulas after laryngectomy for laryngeal cancer. Consecutive patients who underwent placement of removable esophageal stent for closing pharyngo-cutaneous and tracheo-pharyngeal fistulas after laryngectomy for laryngeal cancer. Three patients underwent successful stent placement in the hypopharynx. The stents were well tolerated. Patient one had the stent for 14 months, leading to complete healing of the fistula. Removal was successful. The second patient was palliated but died 8 weeks after stent placement. The third patient has successful palliation of his tracheo-esophageal fistula and the stent is being exchanged every 3-4 months to palliate his fistula. Closure of pharyngo-cutaneous and tracheo-esophageal fistulas is feasible with esophageal removable stents. These stents provide alternative options when dealing with these challenging problems.


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