CC BY 4.0 · Journal of Digestive Endoscopy
DOI: 10.1055/s-0045-1805036
Case Report

Endoscopic Management of Pharyngocutaneous Fistula: A Case Report

Mandar Vijay Doiphode
1   Department of G I Endoscopy, Gastrohub Hospital, Pune, Maharashtra, India
,
Pankaj Nemade
1   Department of G I Endoscopy, Gastrohub Hospital, Pune, Maharashtra, India
,
Mahesh Rangrao Mahadik
1   Department of G I Endoscopy, Gastrohub Hospital, Pune, Maharashtra, India
,
Arvinder Singh
1   Department of G I Endoscopy, Gastrohub Hospital, Pune, Maharashtra, India
,
1   Department of G I Endoscopy, Gastrohub Hospital, Pune, Maharashtra, India
› Institutsangaben

Abstract

Pharyngocutaneous fistula is a comparatively rare complication following neck surgery, presenting challenges in management and potential morbidity. These patients are difficult to treat by any conventional techniques and often a multidisciplinary approach is required for treating such patients. Here, we present a case of a 43/M patient who developed a pharyngocutaneous fistula following anterior discectomy for cervical compression. Since endoscopy provides a minimal invasive approach for managing such complex cases, we decided to use endoscopic fistula plug insertion in this patient. This case underscores the importance of early recognition and tailored intervention in the management of pharyngocutaneous fistulae.



Publikationsverlauf

Artikel online veröffentlicht:
08. April 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Sapundzhiev N, Nikiforova L, Spasova B, Ivanova D, Balev B. Endoscopic repair of pharyngocutaneous fistula following laryngectomy. Cureus 2019; 11 (10) e5871
  • 2 Gebhardt B, Pudszuhn A, Veit Hofmann M. Treatment options for pharyngocutaneous fistula – a retrospective analysis at the Charité over the past 20 years. Laryngorhinootologie 2023; 102 (S 02): S237-S238
  • 3 Mirkin KA, Pauli EM. Endoscopic management of enterocutaneous fistulae. Digestive Disease Interventions 2021; 5 (02) 177-185
  • 4 Patel S, DeLong CG, De Jesus Sanchez L, Goyal N, Pauli EM. The novel use of flexible endoscopic techniques in the management of pharyngocutaneous fistulas. Digestive Disease Interventions 2021; 5 (04) 319-323
  • 5 Ky AJ, Sylla P, Steinhagen R, Steinhagen E, Khaitov S, Ly EK. Collagen fistula plug for the treatment of anal fistulas. Dis Colon Rectum 2008; 51 (06) 838-843
  • 6 Do SB, Chung CH, Chang YJ, Kim BJ, Rho YS. Risk factors of and treatments for pharyngocutaneous fistula occurring after oropharynx and hypopharynx reconstruction. Arch Plast Surg 2017; 44 (06) 530-538