Evaluation of routine contrast swallow following total pharyngolaryngectomy and free jejunal transfer

Fujiki, Masahide; Miyamoto, Shimpei; Hayashi, Ryuichi; Sakuraba, Minoru

doi:10.1002/lary.25302

Cited by 5 publications

(3 citation statements)

References 19 publications

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“…While VFSS is a standard imaging to detect a leak after esophagectomy, few studies about VFSS after TL or TPL have been published to this date. 7,11,[13][14][15][16][17][18] Table 4 shows the results of the literature review, alongside the main findings of each study. All studies were retrospective.…”

Section: Discussionmentioning

confidence: 99%

“…However, two retrospective studies warned against the poor diagnostic performance of VFSS in the salvage setting. 15,16 Other promising tools have been developed, with the potential to improve this performance. Heo et al proposed a machine-learning predictive model based on white blood count and neutrophil ratio, which showed a better performance than VFSS for the detection of fistula.…”

Section: Discussionmentioning

confidence: 99%

“…The overall diagnostic performance of VFSS in the detection of PL after TL seems acceptable (Table 4). However, two retrospective studies warned against the poor diagnostic performance of VFSS in the salvage setting 15,16 . Other promising tools have been developed, with the potential to improve this performance.…”

Section: Discussionmentioning

confidence: 99%

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Videofluoroscopic swallowing study to detect pharyngeal leak after total (pharyngo‐) laryngectomy: Retrospective assessment of a single‐institution protocol

Chabrillac,

Baudel,

Vergez

et al. 2024

Head & Neck

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BackgroundWe aimed to assess the effectiveness of a single‐institution protocol of videofluoroscopic swallowing study (VFSS) for the detection of pharyngeal leak (PL) and its usefulness to mitigate evolution into subsequent pharyngocutaneous fistula (PCF) after total (pharyngo‐) laryngectomy (TL).MethodsThis retrospective single‐center study was conducted between February 2014 and December 2022. We included all patients who underwent TL and performed a VFSS between Day 7 and Day 14 postoperatively to detect a subclinical PL.ResultsTwo‐hundred and forty‐eight patients met the inclusion criteria. Among the 186 patients (75%) with a negative VFSS, 11 patients (5.9%) developed a secondary PCF after oral intake resumption (false negative of VFSS). Among the 62 patients (25%) with a positive VFSS, the occurrence of a PCF was avoided in 59.7% of cases.ConclusionThis study showed a good effectiveness of VFSS in the detection of PL after TL, alongside a usefulness to mitigate evolution into subsequent PCF.

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