Montgomery® salivary bypass tube in the reconstruction of the hypopharynx. Cost-benefit study

Xavier León, Miquel Quer, Joaquim Burgués

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21 Citations (Scopus)

Abstract

This study analyzes the postoperative complications and the functional results in 61 patients who underwent total laryngectomy with partial or total (circumferential) pharyngectomy reconstructed with a pectoralis major myocutaneous flap, in relation to the use of the Montgomery® Salivary Bypass Tube (MSBPT). There were no significant differences regarding frequency of postoperative cervical complications in relation to the use of the MSBPT. The median hospital stay for patients without the MSBPT (36 days) was significantly higher than that for patients with the MSBPT (25 days). Although the MSBPT did not modify the rate of complications at the cervical level, it did reduce their severity. A financial study showed the cost- effectiveness of using the MSBPT. Systematic use of the MSBPT is recommended after total laryngectomy with partial or total pharyngectomy reconstructed with a pectoralis major myocutaneous flap.
Original languageEnglish
Pages (from-to)864-868
JournalAnnals of Otology, Rhinology and Laryngology
Volume108
Issue number9 I
DOIs
Publication statusPublished - 1 Jan 1999

Keywords

  • Complications
  • Hypopharynx carcinoma
  • Montgomery® Salivary Bypass Tube
  • Pectoralis major myocutaneous flap
  • Pharyngectomy

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