Chapter 110 : Total Laryngectomy and Laryngopharyngectomy Flashcards
Who is the first surgeon to perform total laryngectomy in a living patient
Theodor Billroth (1873)
Who is the German surgeon to perform total laryngopharyngectomy. (also called as the “Father of cosmetic breast surgery”)
Vincenz Czerny (1877)
When should neck drains be removed? ___ ml in __ consecutive days
25ml in 2 consecutive days
In a post-irradiated neck without sign of fistula, oral intake should be started how many weeks post-op?
12-14 days
In a non-irradiated neck, oral intake is started how many days post-op?
7 days
In a case of pharyngocutaneous fistula, one way to “sterilize” the fistula from within is by administering what mixture?
10ml of 0.25% acetic acid by mouth
What is the most common complication after total laryngectomy in an irradiated neck?
Pharyngocutaneous fistula (30%)
What (type) is the minimum neck dissection in a case of supraglottic SCCA?
SND II,III, IV BILATERAL
What facial layer or anatomical structure that would limit the posterior dissection in performing total laryngopharyngectomy?
Prevertebral fascia
What part of the viscera can be used to reconstruct the pharynx after total laryngopharyngectomy?
Jejunum (Jejunal free flap)
