PMID- 27016920 OWN - NLM STAT- MEDLINE DCOM- 20170309 LR - 20181202 IS - 1434-4726 (Electronic) IS - 0937-4477 (Linking) VI - 273 IP - 11 DP - 2016 Nov TI - Hyperbaric oxygen therapy as an alternative to surgery for non-healing pharyngocutaneous fistula. PG - 3857-3861 AB - The aim of the study is to examine the utilization of hyperbaric oxygen treatment (HBOT) as an alternative to surgical treatment for non-healing postoperative phayngocutaneous fistula (POPCF). A retrospective study was conducted between 2012 and 2014 of referred patients who had failed conservative treatment for POPCF at other medical centers. Reevaluation at our department was followed by therapeutic management including daily HBOT. Eight male patients with a mean age of 62.3 years were included. The average period of conservative treatment was 1 month before admittance to our department. All patients were managed with HBOT and local debridement. Closure of the POPCF was proved by a barium swallow test in seven patients (87.5 %). HBOT is recommended for patients who have failed conservative treatment for POPCF post-laryngectomy, due to a high rate of successful (87.5 %) closure and should be considered as an alternative to surgical treatment. FAU - Abu Eta, Rani AU - Abu Eta R AD - Department of Otolaryngology Head and Neck Surgery, Assaf Harofeh Medical Center, 70300, Zerifin, Israel. AD - Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel. FAU - Eviatar, Ephraim AU - Eviatar E AD - Department of Otolaryngology Head and Neck Surgery, Assaf Harofeh Medical Center, 70300, Zerifin, Israel. AD - Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel. FAU - Gavriel, Haim AU - Gavriel H AD - Department of Otolaryngology Head and Neck Surgery, Assaf Harofeh Medical Center, 70300, Zerifin, Israel. haim.ga@012.net.il. AD - Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel. haim.ga@012.net.il. LA - eng PT - Journal Article DEP - 20160326 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 SB - IM MH - Aged MH - Cutaneous Fistula/etiology/*therapy MH - Fistula/etiology/*therapy MH - Humans MH - *Hyperbaric Oxygenation MH - Laryngectomy/adverse effects MH - Male MH - Middle Aged MH - Pharyngeal Diseases/etiology/*therapy MH - Postoperative Complications MH - Retrospective Studies OTO - NOTNLM OT - Deglutition OT - Deglutition disorders OT - Hyperbaric oxygen therapy OT - Pharyngocutaneous fistula OT - Surgery OT - Treatment EDAT- 2016/03/28 06:00 MHDA- 2017/03/10 06:00 CRDT- 2016/03/28 06:00 PHST- 2015/03/07 00:00 [received] PHST- 2016/03/21 00:00 [accepted] PHST- 2016/03/28 06:00 [pubmed] PHST- 2017/03/10 06:00 [medline] PHST- 2016/03/28 06:00 [entrez] AID - 10.1007/s00405-016-4002-9 [pii] AID - 10.1007/s00405-016-4002-9 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2016 Nov;273(11):3857-3861. doi: 10.1007/s00405-016-4002-9. Epub 2016 Mar 26.