Journal Reviews

Clinical Otolaryngology cover

Are elective neck dissections needed during salvage laryngectomy?

1 November 2019 | | Rhinology / Sinus | hypopharyngeal neoplasms, laryngeal neoplasms, laryngectomy, lymphatic metastasis, radiotherapy, salvage therapy

There has recently been a move away from elective neck dissections in the setting of salvage laryngectomy. This has mainly resulted from an appreciation of the increase in morbidity, in particular pharyngocutaneous fistula formation, and an improvement in cross-sectional imaging...

Risk factors for pharyngocutaneous fistula after laryngectomy

1 January 2016 | | carcinoma, cutaneous fistula, laryngeal neoplasms, laryngectomy, meta-analysis, postoperative complications, squamous cell carcinoma

Pharyngocutaneous or salivary fistula is a feared complication following laryngectomy, causing significant morbidity, prolonged hospital inpatient stay / cost and mortality. Previous radiotherapy / chemoradiotherapy is a well recognised risk factor and leads many surgeons to recommend onlay pectoralis major...