Salivary bypass tubes and fistula rates following laryngectomy v1
Research type
Research Study
Full title
Do salivary bypass tubes lower the incidence of pharyngocutaneous fistula following total laryngectomy?; A retrospective analysis of predictive factors using multivariate analysis.
IRAS ID
183063
Contact name
Robert Hone
Contact email
Sponsor organisation
Anglia Ruskin University
Duration of Study in the UK
0 years, 3 months, 25 days
Research summary
Title: Do salivary bypass tubes lower the incidence of pharyngocutaneous fistula following total laryngectomy?; A retrospective analysis of predictive factors using multivariate analysis.
Abnormal connections between the throat and skin allowing saliva to flow from the throat onto the neck are the commonest complication following surgery to remove the voice box to treat cancer. They are difficult and expensive to treat and can have serious complications. Patient swho develop this complication also stay in hospital much longer than normal. The connections are more common in some people and many things have been identified to contribute to causing these connections including radiotherapy, tumour stage, extent of surgery, a pre-operative breathing tube through the neck, post-operative blood levels. Some ear nose and throat departments put temporary silicone tubes (salivary bypass tubes) into the throat of patients following surgery to remove their voice box. This is thought to prevent these abnormal connections.
The aim of the study is to compare the number of people who developed these connections after their voice box is removed and had a silicone tube inserted compared to those who did not receive the tube. We will also collect information on the other factors contributing to the abnormal connections and establish whether the tubes help prevent them regardless of a patients other risks. This will be done by looking at the notes of all patients that had this procedure following cancer diagnosis or treatment by an ear nose and throat departments in South East England between 01/01/2011 to 31/12/2015.REC name
West of Scotland REC 5
REC reference
15/WS/0118
Date of REC Opinion
3 Jun 2015
REC opinion
Favourable Opinion