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Stapler Assisted Total Laryngectomy: A Prospective Randomized Clinical Study

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Closure of the pharyngeal defect after total laryngectomy had been traditionally performed with manual suturing techniques that invert the mucosal edge this technique though effective, yet it is time-consuming. Recently the use of stapling devices to successfully close the pharyngeal defect after total laryngectomy has been advocated to shorten the operative time, especially in the high-risk cancer patients where a prolonged operative time is not preferred. The present study aimed at comparing stapler assisted total laryngectomy to suture closure total laryngectomy in a prospective randomized manner. This is a prospective clinical study conducted on 60 patients undergoing total laryngectomy at Alexandria Main University Hospital, Egypt. Patients with tumor extension to the hypopharynx or base of the tongue were excluded from the study. The surgical time is reduced with shorter hospital stays and no increase in postoperative complications rate. The use of the stapler is technically easy to perform and as equally as effective as the traditional neopharyngeal suturing techniques in patients undergoing total laryngectomy.

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Acknowledgement

The authors would like to extend our thanks to Dr. Mohamed Zahran, M.D., and Dr. Enas Alyaldin who shared in the data collection.

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Authors and Affiliations

  1. ENT Registrar at East Kent Hospitals University NHS Foundation Trust, Kent, UK

    Omar Ahmed

  2. Department of Otorhinolaryngology and Head& Neck Surgery, Faculty of Medicine, University of Alexandria, Alexandria, Egypt

    Hesham Mustafa Abdel-Fattah & Hisham E. M. Elbadan

Authors
  1. Omar Ahmed
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  2. Hesham Mustafa Abdel-Fattah
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  3. Hisham E. M. Elbadan
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Correspondence to Omar Ahmed.

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Conflict of interest

Author Omar Ahmed declares that he has no conflict of interest. Author Hesham Mustafa Abdel-Fattah declares that he has no conflict of interest. Author Hisham E.M. Elbadan, M.D, declares that he has no conflict of interest.

Human and Animal Rights

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments.

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Informed consent was obtained from all individual participants included in the study.

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Ahmed, O., Abdel-Fattah, H.M. & Elbadan, H.E.M. Stapler Assisted Total Laryngectomy: A Prospective Randomized Clinical Study. Indian J Otolaryngol Head Neck Surg 74 (Suppl 2), 2205–2213 (2022). https://doi.org/10.1007/s12070-020-02086-3

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  • DOI: https://doi.org/10.1007/s12070-020-02086-3

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