دور العلاج الشعاعي في حدوث النواسير اللعابية بعد استئصال الحنجرة التام
Abstract
pharyngocutaneous fistula (PCF) is the most common complication after total laryngectomy.(TL)
The purpose of this study was to determine the effect of prior radiotherapy and pharyngocutaneous fistula in patients undergoing total laryngectomy .
Methods and Patient :Retrospective study of 58 patient undergoing total laryngectomy at our department from 2015 to 2018 .
Result :Eighteen patient developed PCF (31%).
low postoperative hemoglobin(Pvalue 0.035) , previous radiotherapy (P value 0.05), radiation induced hypothyroidism RIHT (Pvalue 0.004), radiation therapy with concurrent cisplatin chemotherapy (Pvalue0.0418) were associated with fistula development.
النواسير اللعابية الجلدية هي الاختلاط الاشيع بعد استئصال الحنجرة التام.
ان الهدف من هذه الدراسة توضيح و دراسة العلاقة بين العلاج الشعاعي السابق للجراحة و تطور النواسير اللعابية بعد استئصال الحنجرة التام.
الطرائق و المرضى :دراسة استرجاعية ل 58 مريض خضعوا لاستئصال الحنجرة التام في مشفى الاسد وتشرين الجامعيين في اللاذقية بين عام 2015_2018 .
النتيجة :18 مريض تطور لديهم الناسور اللعابي (31% ) .
وجد علاقة ذات اهمية احصائية بين خضاب الدم المنخفض قبل الجراحة وتطور الناسور
( pvalue0.035)
و علاقة ذات اهمية احصائية بين قصور الدرق التالي للعلاج الشعاعي RIHT والناسور
( Pvalue 0.004)
و كذلك فان العلاج الشعاعي المتشارك مع الكيماوي له اهمية احصائية في تطور الناسور البلعومي الجلدي
( Pvalue 0.041).
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series
Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in Tishreen University Journal for Research and Scientific Studies - Health Sciences Series . The Readers have the right to send, print and subscribe to the initial version of the article, and the title of Tishreen University Journal for Research and Scientific Studies - Health Sciences Series Publisher
journal uses a CC BY-NC-SA license which mean
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.