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Stapler Versus Conventional Pharyngeal Repair After Total Larygectomy

Not Applicable
Completed
Conditions
Malignant Tumor of the Larynx
Interventions
Procedure: total laryngectomy
Registration Number
NCT06256263
Lead Sponsor
Mansoura University
Brief Summary

This study was done to investigate the efficacy and safety of the linear stapler closure of the pharynx after total laryngectomy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
58
Inclusion Criteria
  • All consecutive patients undergoing total laryngectomy for advanced laryngeal carcinoma in the study duration .
Exclusion Criteria
  • Infiltration of the safety margins proved by postoperative histopathology .
  • Patients with tumor extension to the tongue base, or the hypopharynx .
  • Patients who are unfit for surgery .
  • Patients refusal to surgical treatment

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
conventional repair grouptotal laryngectomypharyngeal repair after total laryngectomy was done by the conventional method (stitching).
stapler repair grouptotal laryngectomypharyngeal repair after total laryngectomy was done by using a linear stapler
Primary Outcome Measures
NameTimeMethod
incidence of pharyngocutaneous fistula after total laryngectomyfour weeks

to assess the effectiveness of pharyngeal repair and healing without pharyngocutaneous fistula

Secondary Outcome Measures
NameTimeMethod
assessment of the swallowing function after surgery6 months

swallowing was evaluated subjectively by applying the Sydney Swallow Questionnaire, (SSQ) and was evaluated objectively by performing modified barium swallow and functional endoscopic evaluation of swallowing (FEES)

Trial Locations

Locations (1)

Mansoura University faculty of Medicine

🇪🇬

Mansoura, Egypt

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