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Endoscopic negative pressure therapy (ENPT) of a post-laryngectomy pharyngocutaneous fistula: first report of a new treatment method

Endoskopische Unterdrucktherapie einer pharyngokutanen Fistel nach Laryngektomie – Erstbeschreibung eines neuen Therapieverfahrens


In the current first report, it is shown how a post-laryngectomy pharyngocutaneous fistula was successfully closed by endoscopic negative pressure therapy (ENPT; also termed endoscopic vacuum therapy, EVT). The duration of negative pressure treatment was 14 days. Up until now, ENPT has been used for treatment of transmural defects in the rectum and esophagus. The new endoscopic method can also be used in the ENT field for closure of pharyngocutaneous fistulas.

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We would like to thank the nursing staff at the interdisciplinary endoscopic unit and our colleagues in the department of anaesthesiology.

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Correspondence to G. Loske MD.

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G. Loske is a consultant for Lohmann & Rauscher GmbH & Co. KG. J. Loeck, H.-J. von Lücken and W. Kehrl declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors. Consent was obtained from all patients identifiable from images or other information within the manuscript. In the case of underage patients, consent was obtained from a parent or legal guardian.

The supplement containing this article is not sponsored by industry.

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C. Matthias, Mainz

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Loeck, J., von Lücken, HJ., Kehrl, W. et al. Endoscopic negative pressure therapy (ENPT) of a post-laryngectomy pharyngocutaneous fistula: first report of a new treatment method. HNO 67 (Suppl 2), 77–79 (2019).

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  • Respiratory tract fistula
  • Cutaneous fistula
  • Wound closure techniques
  • Negative-pressure wound therapy
  • Drainage