565 results match your criteria Oral Cutaneous Fistulas


2-Octyl cyanoacrylate to prevent salivary fistula formation following oral cavity microvascular reconstruction: A prospective trial.

Am J Otolaryngol 2020 May 28;41(5):102552. Epub 2020 May 28.

Department of Otolaryngology Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, NY, New York, USA.

Background: Salivary fistulas remain a significant problem in patients undergoing major head and neck reconstructive surgery. Surgical sealants have become increasingly used in cutaneous and non-cutaneous wound closure, providing a barrier to fluids/gases and promoting healing. The purpose of this study was to determine the efficacy of a common surgical sealant, 2-Octyl Cyanoacrylate (2-OCA, Dermabond®), in the prevention of salivary fistulas following free flap reconstruction of the oral cavity. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102552DOI Listing

Transcutaneous Lateral Alveolar Ostectomy for Standing Surgical Extraction of Mandibular First Molar in an 8-Year-Old Miniature Horse.

J Vet Dent 2020 Jun 5:898756420928327. Epub 2020 Jun 5.

Salem Valley Veterinary Clinic, Salem, CT, USA.

An 8-year-old, 125 kg (275 lb) female miniature horse was evaluated for a persistently thickened left mandible and cutaneous fistula. Pulp horn defects were identified in pulp horns 1 and 3 of tooth 309 and occlusal pulp exposure was detected with a dental explorer. Radiography of the left mandibular dental quadrant revealed changes consistent with apical infection of tooth 309. Read More

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http://dx.doi.org/10.1177/0898756420928327DOI Listing

Supraclavicular Artery Island Flap: Critical Appraisal and Comparison to Alternate Reconstruction.

Laryngoscope 2020 Jun 3. Epub 2020 Jun 3.

USC Caruso Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California, U.S.A.

Objectives/hypothesis: The supraclavicular artery island (SAI) flap may be a good option for selected head and neck reconstruction due to its reliability, ease of harvest, and favorable color match. The objective of this study was to examine the rates of complications for the SAI flap in head and neck oncologic reconstruction, with examination of risk factors and comparisons to alternative flaps often considered the gold-standard soft-tissue flaps for head and neck reconstruction: the pectoralis myocutaneous (PMC), radial forearm free flap (RFFF), and anterolateral thigh (ALT) flaps.

Study Design: Retrospective cohort study. Read More

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http://dx.doi.org/10.1002/lary.28706DOI Listing

Closing of large pharyngostomes with free flaps and proposal of a new classification.

Eur Arch Otorhinolaryngol 2020 May 6. Epub 2020 May 6.

Department of ENT, Hospital Universitario Central de Asturias, C/Avenida de Roma s/n, 33011, Oviedo, Spain.

Purpose: Large pharyngocutaneous fistulas or pharyngostomes are difficult complications to solve, which generate high morbidity and mortality, a poor quality of life and an increase in health costs. Its management must be comprehensive according to general, local and regional factors. We review our experience in treating these pharyngostomes with free flaps. Read More

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http://dx.doi.org/10.1007/s00405-020-06010-xDOI Listing

Indigenous Management of Parotid Sialocele Using Foley's Catheter: A Report of Two Cases.

J Maxillofac Oral Surg 2020 Jun 30;19(2):225-229. Epub 2019 Jan 30.

4SRM Dental College, Chennai, Tamilnadu India.

Background: Parotid gland and duct injuries are rare complications following surgery of parotid gland and temporomandibular joint. Sialocele is a cavity filled with saliva, usually formed as a result of trauma to salivary gland/duct or an iatrogenic complication of surgery. Several methods of managing parotid duct injury have been reported in the literature. Read More

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http://dx.doi.org/10.1007/s12663-019-01192-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7176789PMC

Long-term outcomes of trans-oral robotic surgery-assisted total laryngectomy for recurrent laryngeal cancers.

Jpn J Clin Oncol 2020 Jun;50(6):653-660

School of Speech Language Pathology and Audiology, Chung Shan Medical University, Taichung.

Objective: For recurrent laryngeal cancers, trans-oral robotic surgery has been used to perform total laryngectomy, but limited cases had been reported without long-term outcome follow-up. This study aims at presenting the largest longitudinal retrospective cohort in a single tertiary referral medical center.

Methods: From November 2013 to August 2017, seven patients with recurrent laryngeal cancers without evidence of neck metastasis were selected to receive trans-oral robotic surgery-assisted TL without neck dissection. Read More

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http://dx.doi.org/10.1093/jjco/hyaa034DOI Listing

Percutaneous endoscopic gastrostomy through a cervical esophageal fistula. An alternative, much improved technique for patient safety.

Am J Otolaryngol 2020 May - Jun;41(3):102408. Epub 2020 Jan 23.

Department of Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, St. Kiriakidi 1, 54636 Thessaloniki, Greece; Endoscopy Unit, Department of Surgery, Aristotle University of Thessaloniki, AHEPA Hospital, St. Kiriakidi 1, 54636 Thessaloniki, Greece. Electronic address:

Purpose: Percutaneous endoscopic gastrostomy [PEG] by the pull-technique is easy and safe to perform through the oral cavity. However, the presence of a cervical esophageal fistula, either due to tumor invasion or simply inflammation and tissue necrosis after previous intervention or radiotherapy, in the anterior cervical region is of crucial importance when passing the endoscope and the PEG catheter from the mouth downwards.

Methods: We describe a modification of the standard peroral PEG, which is to insert the endoscope from the cervical esophageal opening instead of the oral cavity, and we support the use of this "stoma" as a way to protect it and avoid possible forceful dilatation/expansion when advancing the endoscope and the gastrostomy catheter through the mouth. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102408DOI Listing
January 2020

Use of a submandibular gland flap for closure of oral cutaneous fistula.

Oral Oncol 2020 May 31;104:104583. Epub 2020 Jan 31.

Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, China. Electronic address:

We reported a rare case of submandibular oral cutaneous fistula (OCF) in a 27-year-old female. A submandibular gland flap (SMGF) was prepared after fistula resection to fill the dead space under the mouth floor. Based on this case report and a literature review, we discussed the pathogenesis and treatment of OCF, and compared the differences between the SMGF and other types of flaps. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2020.104583DOI Listing

Infrahyoid flap revisited - A head and neck surgical perspective in the Indian setting.

Indian J Cancer 2020 Jan-Mar;57(1):62-69

Department of Head and Neck Surgical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India.

Purpose: In India, head and neck cancer contributes to about 35% of all malignancies. Among head and neck squamous cell cancers, buccal mucosa and tongue are the most common subsites. Reconstruction of defects after resection of primary in these subsites with acceptable cosmetic and functional outcomes remains a challenging task. Read More

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http://dx.doi.org/10.4103/ijc.IJC_460_18DOI Listing
January 2020

Madurella mycetomatis infection of the foot: a case report of a neglected tropical disease in a non-endemic region.

BMC Dermatol 2020 01 10;20(1). Epub 2020 Jan 10.

Dermatology and Venereology Department, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco.

Background: Mycetoma is an uncommon chronic granulomatous infection of cutaneous and subcutaneous tissues that can be caused by filamentous bacteria (actinomycetoma) or fungi (eumycetoma). It is the prerogative of young men between the third and fourth decade and is transmitted through any trauma causing an inoculating point. The classic clinical triad associates a painless hard and swelling subcutaneous mass, multiple fistulas, and the pathognomonic discharge of grains. Read More

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http://dx.doi.org/10.1186/s12895-019-0097-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6953183PMC
January 2020

Pectoralis Major Myocutaneous/Myofascial Flap and Split Skin Grafting for Repair of Post Laryngectomy Pharyngo Cutaneous Fistula: An Undemanding and a Reliable Solution.

Indian J Otolaryngol Head Neck Surg 2019 Oct 27;71(Suppl 1):305-311. Epub 2018 Feb 27.

3Upgraded Institute of Oto Rhino Laryngology, Madras Medical College, Chennai, 600003 India.

Pharyngo cutaneous fistula occurs in 16-32% of cases after laryngectomy. Repair of a non healing fistula is a reconstructive challenge due to inherent problems like malnutrition, lung infection, infected and soiled neck wound, irradiated neck field and hypothyroid status. As the defect is composite involving the neck and the aero digestive tract, there is requirement for two epithelial surfaces. Read More

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http://dx.doi.org/10.1007/s12070-018-1288-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848662PMC
October 2019

Odontogenic cutaneous fistula of the face.

CMAJ 2019 Nov;191(46):E1281

Department of Dentistry and Oral Surgery, Unit of Sensory and Locomotor Medicine, Division of Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.

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http://dx.doi.org/10.1503/cmaj.190674DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861139PMC
November 2019

Metastatic Crohn Disease: A Clinicohistological Appraisal From a Tertiary Care Center in India.

Am J Dermatopathol 2020 Jul;42(7):506-512

Departments of Histopathology and Dermatology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Background: Granulomatous dermatitis due to noncontiguous involvement of Crohn disease (CD) of the gut has been described as metastatic CD (MCD). MCD is the rarest form of cutaneous manifestations of CD. This study aims to analyze the clinicohistological features of MCD in a tertiary care center of India. Read More

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http://dx.doi.org/10.1097/DAD.0000000000001543DOI Listing
July 2020
1 Read

Primary molar with chronic periapical abscess showing atypical presentation of simultaneous extraoral and intraoral sinus tract with multiple stomata.

BMJ Case Rep 2019 Sep 11;12(9). Epub 2019 Sep 11.

Neurosurgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.

Chronic periapical abscess drains through a sinus tract either intraorally or extraorally. However, intraoral drainage is more common than extraoral in both dentitions. Nevertheless, the simultaneous presentation of extraoral and intraoral sinus tract is very rarely reported in primary dentition. Read More

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http://dx.doi.org/10.1136/bcr-2018-229039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738723PMC
September 2019

Chimeric Lateral Arm Free Flap to Treat Pharyngocutaneous Fistula After Total Laryngectomy.

J Craniofac Surg 2019 Nov-Dec;30(8):2401-2403

Emergency District Hospital, Vascular Surgery Department, Cluj-Napoca, Romania.

Pharyngocutaneous fistula is a major complication after total laryngectomy, leading to a severe adverse impact for the patient and social activity. The reported incidence ranges from 9% to 25% in the last decade. In this paper, the authors present our experience using chimeric lateral arm free flap for reconstruction of the pharyngo-esophageal segment. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005615DOI Listing
January 2020
12 Reads
0.676 Impact Factor

Liver abscess as a rare complication of PEG.

Rozhl Chir 2019 ;98(5):219-222

Introduction: Percutaneous endoscopic gastrostomy (PEG) is one of the most effective methods of providing long-term enteral nutrition in patients with the impossibility of oral intake. Complications are relatively common. The most common is peristomal wound infection at the site of the insertion and leakage along the cannula. Read More

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August 2019
6 Reads

Parotid Fistula After Skin Biopsy: Treatment With Botulinum Toxin.

Actas Dermosifiliogr 2019 Oct 28;110(8):693-695. Epub 2019 May 28.

Servicio de Otorrinolaringología, Instituto Valenciano de Oncología, Valencia, España.

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http://dx.doi.org/10.1016/j.ad.2018.02.040DOI Listing
October 2019
2 Reads

Cone-beam Computed Tomography as a Noninvasive Assistance Tool for Oral Cutaneous Sinus Tract Diagnosis: A Case Series.

J Endod 2019 Jul 17;45(7):950-956. Epub 2019 May 17.

Department of Endodontics, Israel Defense Forces Medical Corps, Tel Hashomer, Israel.

An oral cutaneous sinus tract is a relatively uncommon condition that is generally associated with long-standing periapical inflammation. The traditional process of oral cutaneous sinus tract diagnosis is an invasive method based on the insertion of a lacrimal probe or wire. The present article describes the use of cone-beam computed tomographic imaging as a noninvasive assistant tool for the verification of the odontogenic origin. Read More

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http://dx.doi.org/10.1016/j.joen.2019.03.017DOI Listing
July 2019
3 Reads

Improving hard palate wound healing using immune modulatory autotherapies.

Acta Biomater 2019 06 25;91:209-219. Epub 2019 Apr 25.

Coulter Department of Biomedical Engineering, Georgia Tech and Emory, Atlanta, GA, USA; Petit Institute for Bioengineering and Biosciences, Georgia Institute of Technology, Atlanta, GA, USA. Electronic address:

Oral cavity wound healing occurs in an environment that sustains ongoing physical trauma and is rich in bacteria. Despite this, injuries to the mucosal surface often heal faster than cutaneous wounds and leave less noticeable scars. Patients undergoing cleft palate repair have a high degree of wound healing complications with up to 60% experiencing oronasal fistula (ONF) formation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17427061193029
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http://dx.doi.org/10.1016/j.actbio.2019.04.052DOI Listing
June 2019
23 Reads

Cutaneous draining sinus tract of odontogenic origin. A case of chronic misdiagnosis.

Saudi Med J 2019 Mar;40(3):292-297

Department of Restorative Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail.

This is a case of a patient with a buccal cutaneous sinus tract, originally misdiagnosed, with delayed healing and potential malpractice. An odontogenic cutaneous sinus tract is a pathologic canal that initiates in the oral cavity but opens externally at the cutaneous surface of the face or neck. It is frequently misdiagnosed, leading to inappropriate treatment. Read More

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https://smj.org.sa/index.php/smj/article/view/smj.2019.3.239
Publisher Site
http://dx.doi.org/10.15537/smj.2019.3.23963DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468203PMC
March 2019
28 Reads

Perioperative Management of Total Laryngectomy Patients: A Survey of American Head and Neck Society Surgeons.

Ann Otol Rhinol Laryngol 2019 Jun 13;128(6):534-540. Epub 2019 Feb 13.

2 Department of Otolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine, New York, NY, USA.

Objectives: Standards of care for total laryngectomy (TL) patients in the postoperative period have not been established. Perioperative care remains highly variable and perhaps primarily anecdotally based. The aim of this study was to survey members of the American Head and Neck Society to capture management practices in the perioperative care of TL patients. Read More

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http://dx.doi.org/10.1177/0003489419830118DOI Listing
June 2019
4 Reads
1.054 Impact Factor

Salvage total laryngectomy: is a flap necessary?

Braz J Otorhinolaryngol 2020 Mar - Apr;86(2):228-236. Epub 2018 Dec 31.

Hospital General Universitario Gregorio Marañón, Departamento de Otorrinolaringología, Cirugía de Cabeza y Cuello, Madrid, Spain.

Introduction: Pharyngocutaneous fistula is the most significant complication after salvage total laryngectomy in patients who have received previous treatment with radiotherapy with or without chemotherapy.

Objective: Our purpose is to review the fistula rate in radiated patients undergoing salvage total laryngectomy, to determine if the use of pectoralis major flap interposition reduces the incidence and duration of fistula and to examine other risk factors.

Methods: We made a retrospective review of patients undergoing salvage total laryngectomy for exclusively larynx cancer after failure of primary curative radiotherapy between 2000 and 2017. Read More

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http://dx.doi.org/10.1016/j.bjorl.2018.11.007DOI Listing
May 2020
12 Reads

A linguoverted impacted tooth with orocutaneous fistula - a rare case report.

Clujul Med 2018 Oct 30;91(4):479-483. Epub 2018 Oct 30.

Dept. of Oral Pathology, MDS, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India.

The orocutaneous fistulous tract of odontogenic origin is often a diagnostic challenge, due to its rare manifestation and absence of dental signs and symptoms. The odontogenic cutaneous fistula is often misdiagnosed as a superficial skin lesion of non-odontogenic origin delaying the treatment. The diagnosis and treatment must be precise and swift to improve the clinical outcome and minimize the complications. Read More

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http://dx.doi.org/10.15386/cjmed-945DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296720PMC
October 2018
36 Reads

Optimizing survival of large fibula osteocutaneous flaps for extensive full-thickness oromandibular defects: A two-stage approach with temporary orocutaneous fistula.

Microsurgery 2019 Mar 29;39(3):234-240. Epub 2018 Nov 29.

Department of Plastic and Reconstructive Surgery, China Medical University, Taichung, Taiwan.

Introduction: Composite and large head and neck defects requiring extensive skin-mucosa coverage are often reconstructed by combining flaps. Herein, we present a simple and reliable two-stage fibula osteocutaneous (FOC) flap technique to improve the survival of a large skin paddle for oromandibular reconstructions.

Methods: From October 2011 to September 2016, 47 patients with through-and-through oromandibular defects were reconstructed using FOC flaps with large skin paddles. Read More

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http://dx.doi.org/10.1002/micr.30386DOI Listing
March 2019
4 Reads

Patterns of cervical node positivity, regional failure rates, and fistula rates for HPV+ oropharyngeal squamous cell carcinoma treated with transoral robotic surgery (TORS).

Oral Oncol 2018 11 13;86:296-300. Epub 2018 Oct 13.

University of Washington, Department of Otolaryngology - Head and Neck Surgery, Health Sciences Building, Suite BB1165, Box 356515, Seattle, WA 98195-6515, United States; Fred Hutchinson Cancer Research Center, 2000 Circle of Hope Drive, Salt Lake City, UT 84112, United States.

Objectives: (1) Report the patterns of cervical node positivity for HPV + oropharyngeal squamous cell carcinoma (OPSCC) treated with transoral robotic surgery (TORS) and a unilateral level II-IV node dissection. (2) Investigate the regional failure rate following this operation. (3) Report the rate of pharyngocutaneous fistula (PCF) formation intraoperatively and postoperatively following TORS/neck dissection. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2018.10.001DOI Listing
November 2018
1 Read

Utility of an Anterior Tibial Perforator for Skin Paddle Viability in Through-and-Through Defects of the Mandible.

Eplasty 2018 20;18:e24. Epub 2018 Sep 20.

Division of Plastic & Reconstructive Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus; Aurora.

The present report describes an alternative technique of using a flow- through, double-paddle, fibular, osteocutaneous free flap based on one perforator from the peroneal system and one perforator from the anterior tibial system for a through-and-through mandibular defect. The patient was a 65-year-old man who underwent a composite resection of the floor of the mouth, mandible, and chin pad due to recurrent oral cavity squamous cell carcinoma. The fibula was harvested with one posterior-lateral septal perforator from the peroneal system and with a second skin perforator from the anterior tibial system to perfuse a 15 × 14 cm skin island. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161216PMC
September 2018
33 Reads

Linezolid-induced black hairy tongue.

Acta Biomed 2018 10 8;89(3):408-410. Epub 2018 Oct 8.

Thoracic Surgery, Department of Medicine and Surgery, University Hospital of Parma.

Black hairy tongue (BHT) is a self-limiting disorder characterized by abnormal hypertrophy and elongation of filiform papillae on the surface of the tongue. The exact mechanism of drug-induced BHT is unknown. Several factors have been implicated and included smoking or chewing tobacco, drinking alcohol, poor oral hygiene and antibiotics such as tetracyclines and penicillins. Read More

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http://dx.doi.org/10.23750/abm.v89i3.7060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502130PMC
October 2018
4 Reads

The role of poor oral health in surgical site infection following elective spinal surgery.

Musculoskelet Surg 2019 Aug 29;103(2):167-171. Epub 2018 Sep 29.

School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

Study Design: Cross-sectional study.

Objectives: To describe oral health and hygiene as a risk factor for surgical site infection (SSI).

Methods: This cross-sectional study was conducted on patients over 18 years of age who were candidates for elective spinal surgery. Read More

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http://link.springer.com/10.1007/s12306-018-0568-2
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http://dx.doi.org/10.1007/s12306-018-0568-2DOI Listing
August 2019
13 Reads

Post-traumatic bilateral vesicocutaneous fistula of thighs treated with buccal mucosa graft urethroplasty and cyanoacrylate glue instillation: a novel treatment for management of a complicated fistula.

BMJ Case Rep 2018 Sep 25;2018. Epub 2018 Sep 25.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Post-traumatic vesicocutaneous fistula (VCF) is a rare variant of urinary fistulas. These fistulas may externally communicate to abdomen, perineum, buttocks, scrotum or very rarely thigh. These fistulas usually develop at a variable time duration after trauma and are usually preceded with thigh swelling or abscess formation followed by spontaneous rupture. Read More

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http://dx.doi.org/10.1136/bcr-2018-226438DOI Listing
September 2018
5 Reads

A Painless Facial Nodule.

Am Fam Physician 2018 09;98(5):317-318

Naval Medical Center San Diego, San Diego, CA, USA.

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September 2018
38 Reads

An uncommon cause for a non-healing cutaneous fistula in the parotid gland area - A case report.

Ann Med Surg (Lond) 2018 Sep 18;33:36-39. Epub 2018 Aug 18.

Department of Oral and Maxillofacial Surgery, Kantonsspital Aarau, Aarau, Switzerland.

Introduction: Orocutaneous fistulae of dental origin are uncommon but well documented in the literature. This condition is often misdiagnosed because of the multiplicity of manifestations and the atypically presentation of the condition. Dental symptoms are rare. Read More

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http://dx.doi.org/10.1016/j.amsu.2018.08.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107901PMC
September 2018
11 Reads

Management of failed hypospadias: choosing the right method and achieving optimal results.

Int Urol Nephrol 2018 Oct 18;50(10):1795-1800. Epub 2018 Aug 18.

Department of Urology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Objective: Because of the complexity of the abnormalities and limited options for reconstruction of failed hypospadias, creating a neourethra presents a challenge to surgeons. We reviewed our experiences with staged urethroplasty strategies to repair the penis of failed hypospadias.

Materials And Methods: We retrospectively reviewed 56 consecutives patients following multiple unsuccessful hypospadias repairs from 2010 to 2016. Read More

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http://link.springer.com/10.1007/s11255-018-1962-2
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http://dx.doi.org/10.1007/s11255-018-1962-2DOI Listing
October 2018
65 Reads

[Primary research of early oral feeding after total laryngectomy].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jun;53(6):428-431

Department of Head and Neck Surgery, National Cancer Center, Chinese Academy of Medical Sciences, Peking Union Medical College, Cancer Hospital, Beijing 100021, China.

To explore whether early oral feeding after total laryngectomy is safe and effective by evaluating the incidence of pharyngocutaneous fistula (PCF) and the hospital duration. A retrospective cohort study was conducted, including 52 patients underwent total laryngectomy, plus partial tongue base resection (=2), partial pharyngectomy (=1), or pedicle flap (=2) between January 2012 and October 2017. Patients who had a history of preoperative radiotherapy, chemotherapy or chemoradiotherapy, previous surgery for larynx or pharynx and who had severe complications were excluded. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2018.06.007DOI Listing
June 2018
5 Reads

Use of a folded extended vertical lower trapezius island myocutaneous flap to repair large pharyngocutaneous fistulae developing after salvage total laryngectomy.

Int J Oral Maxillofac Surg 2018 Oct 8;47(10):1268-1273. Epub 2018 Jun 8.

Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

The purpose of this study was to evaluate the outcomes of surgery involving the use of folded trapezius flaps to repair large pharyngocutaneous fistulae (PCFs) developing after salvage total laryngectomy. Folded extended vertical lower trapezius island myocutaneous flaps (TIMFs) were created to repair large PCFs that developed after salvage total laryngectomy in eight patients. The maximum fistula dimension was 4. Read More

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http://dx.doi.org/10.1016/j.ijom.2018.05.019DOI Listing
October 2018
17 Reads

Repair of post-laryngectomy pharyngocutaneous fistulas using a pectoralis major flap.

Braz J Otorhinolaryngol 2019 May - Jun;85(3):351-356. Epub 2018 Apr 5.

Universitat Autònoma de Barcelona, Hospital de la Santa Creu i Sant Pau, Otorhinolaryngology Department, Barcelona, Spain.

Introduction: The pectoralis major flap is a reconstructive option to consider in the treatment of pharyngocutaneous fistula after a total laryngectomy. There are not large studies assessing variables related to pharyngocutaneous fistula recurrence after removal of the larynx. Our objectives were to review the results obtained with this type of treatment when pharyngocutaneous fistula appears in laryngectomized patients, and to evaluate variables related to the results. Read More

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http://dx.doi.org/10.1016/j.bjorl.2018.03.002DOI Listing
July 2019
11 Reads

Pharyngocutaneous and tracheoesophageal fistula closure using supraclavicular artery island flap.

Eur Arch Otorhinolaryngol 2018 Jul 30;275(7):1921-1926. Epub 2018 Mar 30.

Department of Plastic, Reconstructive and Aesthetic Surgery and Burn Unity, Centro Hospitalar de São João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.

Background: Pharyngocutaneous fistula is a common complication of laryngopharyngeal surgery, being associated with increased morbidity and mortality. Classical regional and free flaps, frequently used in the treatment of this complication, have several limitations, including bulking, donor site morbidity and long operative time. The supraclavicular artery island flap (SCAIF) is a fasciocutaneous flap and presents as an alternative option with good results and without the previously stated limitations. Read More

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http://dx.doi.org/10.1007/s00405-018-4961-0DOI Listing
July 2018
29 Reads

Successful Treatment of a Persistent Oroantral Fistula via Transbuccal and Transnasal Endoscopic Debridement in a Horse.

J Vet Dent 2018 Mar;35(1):28-34

1 Equine Department, VetAgro-Sup, University of Lyon, Marcy l'Etoile, France.

We report an unusual case of a young Quarter Horse with a large dental fracture fragment displaced into the maxillary sinus, leaving an oroantral communication that caused food impaction and metaplastic calcification in the sinus and facial deformation with cutaneous fistulation. Oral extraction of a remaining tooth fragment from its alveolus was succeeded by a maxillary sinusotomy for removal of the abnormal sinus contents. Since the oroantral fistula did not heal spontaneously following the placement of a silicone dental prosthesis, minimally invasive transbuccal and transnasal endoscopic approaches were used to encourage closure of the oroantral fistula by alveolar granulation. Read More

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http://dx.doi.org/10.1177/0898756418754316DOI Listing
March 2018
26 Reads

Routine use of salivary bypass tubes in laryngectomy patients: systematic review.

J Laryngol Otol 2018 May 15;132(5):380-384. Epub 2018 Feb 15.

ENT Department,Royal Glamorgan Hospital,Llantrisant,Wales,UK.

Background: Pharyngocutaneous fistula is a cause of significant morbidity following laryngectomy. Routine use of salivary bypass tubes during laryngectomy has been proposed to reduce the incidence of fistulae and neopharyngeal strictures.

Method: Following a systematic search of Embase, Medline and Cochrane databases (1946 - current), included articles were assessed for bias according to the Cochrane Handbook for Systematic Reviews of Interventions. Read More

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http://dx.doi.org/10.1017/S0022215118000154DOI Listing
May 2018
4 Reads

[A Contrivance for Closure and Dressing of Orocutaneous Fistula Developed in Advanced Oral Cancer].

Gan To Kagaku Ryoho 2017 Nov;44(12):1287-1289

Dept. of Oral and Maxillofacial Surgery, Matsue City Hospital.

Orocutaneous fistula sometimes occurs in locallyadvanced unresectable or recurrent oral squamous cell carcinoma. The developed orocutaneous fistula results in constant leakage of saliva, ingested foods and liquids and decline in patients' quality of life(QOL). A 47-year-old Japanese man had received treatment for tongue carcinoma. Read More

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November 2017
7 Reads

Predictive factors for pharyngocutaneous fistulization after total laryngectomy: a Dutch Head and Neck Society audit.

Eur Arch Otorhinolaryngol 2018 Mar 16;275(3):783-794. Epub 2018 Jan 16.

Department of Head and Neck Oncology and Surgery, The Netherlands Cancer Institute-Antoni van Leeuwenhoek, Amsterdam, The Netherlands.

Background: Incidences of pharyngocutaneous fistulization (PCF) after total laryngectomy (TL) reported in the literature vary widely, ranging from 2.6 to 65.5%. Read More

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http://dx.doi.org/10.1007/s00405-017-4861-8DOI Listing
March 2018
25 Reads

Reconstruction after salvage laryngectomy.

Oral Oncol 2017 12 21;75:22-27. Epub 2017 Oct 21.

Department of Otolaryngology-Head and Neck Surgery, London Health Sciences Centre, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada. Electronic address:

Both early and advanced stage laryngeal cancers are treated with organ-preserving strategies including radiation alone or concurrent chemoradiotherapy. While organ-preserving modalities have proven effective in eradicating cancer while also preserving laryngeal function, there remains a proportion of cases where residual or recurrent cancer prevails, or conversely, where radiotherapy renders a larynx dysfunctional. In these circumstances, salvage total laryngectomy is often the surgical treatment. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2017.10.009DOI Listing
December 2017
14 Reads

Surgery for post-operative entero-cutaneous fistulas: is bowel resection plus primary anastomosis without stoma a safe option to avoid early recurrence? Report on 20 cases by a single center and systematic review of the literature.

G Chir 2017 Jul-Aug;38(4):185-198

Background: A review was performed on entero-cutaneous fistula (ECF) repair and early recurrence, adding our twenty adult patients (65% had multiple fistulas).

Methods: The search yielded 4.098 articles but only 15 were relevant: 1. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725163PMC
http://dx.doi.org/10.11138/gchir/2017.38.4.185DOI Listing
July 2019
6 Reads

Laser Assisted Treatment of Extra Oral Cutaneous Sinus Tract of Endodontic Origin: A Case Report.

J Lasers Med Sci 2017 29;8(Suppl 1):S68-S71. Epub 2017 Aug 29.

Department of Laser, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Sinus tract (or fistula) is a common manifestation of pulpal necrosis with periapical pathosis that requires conventional or rarely surgical- endodontic treatment in order to heal. It is mainly identified intraorally and in rare cases manifestation is extra orally, which may frequently be misdiagnosed with cutaneous lesion and incorrectly treated. New technologies such as lasers have been developed as adjuncts to standard endodontic antimicrobial procedures in order to increase the success rate of endodontic therapy while complying with the desire of saving a natural tooth. Read More

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http://dx.doi.org/10.15171/jlms.2017.s13DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5642182PMC
August 2017
17 Reads

Complications after parotid gland surgery Our experience.

Ann Ital Chir 2017 ;88:295-301

Aim: Complications after parotid surgery include deficit of the facial nerve, wound complications, as sialocele and salivary fistula, and Frey syndrome; the goal of this study was to evaluate the relationship between the type of parotid surgery performed and the incidence of each of these complications.

Material Of Study: A total of 184 patients were evaluated and 158 were included in the study. Four different kinds of intervention were made: extracapsular dissection, partial superficial parotidectomy; superficial parotidectomy and total parotidectomy. Read More

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July 2018
16 Reads

Sialocutaneous fistula to the external auditory canal repaired with superficial parotidectomy and temporoparietal flap: A case report.

Medicine (Baltimore) 2017 Oct;96(42):e7038

Department of Otolaryngology-Head and Neck Surgery, Western University, London, ON, Canada.

Rationale: Gustatory otorrhea can lead to cutaneous changes, recurrent infection, and social disruption. We present a case of a late, evolving sialocutaneous fistula to the external auditory canal, managed surgically after failing conservative therapies. This case is unique by late evolution, whereby the symptoms presented with significance 27 years after her operation and 19 years after mild symptoms initially arose. Read More

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http://dx.doi.org/10.1097/MD.0000000000007038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5662334PMC
October 2017
23 Reads

Preliminary Evaluation of Percutaneous Treatment of Echinococcal Cysts without Injection of Scolicidal Agent.

Am J Trop Med Hyg 2017 Dec 28;97(6):1818-1826. Epub 2017 Sep 28.

Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, Italy.

Puncture, Aspiration, Injection of scolicidal agent, Re-aspiration is the most widely used percutaneous treatment of cystic echinococcosis (CE). Among its perceived risks is chemical sclerosing cholangitis, a serious complication due to the caustic effect of the scolicidal solution on the biliary tree, when a patent cystobiliary fistula occurs. To simplify the protocol, we decided to omit injection and reaspiration of the scolicidal agent and to implement a full course of albendazole (ABZ) therapy instead of the routine 1-month ABZ prophylaxis. Read More

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http://dx.doi.org/10.4269/ajtmh.17-0468DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805067PMC
December 2017
22 Reads

Secondary Maxillary and Orbital Floor Reconstruction With a Free Scapular Flap Using Cutting and Fixation Guides Created by Computer-Aided Design/Computer-Aided Manufacturing.

J Craniofac Surg 2017 Nov;28(8):2060-2062

*Department of Plastic and Reconstructive Surgery, Kyoto Prefectural University of Medicine, Kyoto †Department of Plastic and Reconstructive Surgery, Fukuchiyama City Hospital, Fukuchiyma ‡Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Computer-aided design/computer-aided manufacturing (CAD/CAM) guides are now widely used in maxillofacial reconstruction. However, there are few reports of CAD/CAM guides being used for scapular flaps. The authors performed the secondary maxillary and orbital floor reconstruction using a free latissimus dorsi muscle, cutaneous tissue, and scapular flap designed using CAD/CAM techniques in a 72-year-old man who had undergone partial maxillectomy four years previously. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004012DOI Listing
November 2017
16 Reads

Modification of fasciocutaneous radial forearm free flap to achieve two-layer closure during reconstruction of circumferential hypopharyngeal defects.

Eur Ann Otorhinolaryngol Head Neck Dis 2018 Feb 22;135(1):67-70. Epub 2017 Sep 22.

Department of Ear Nose and Throat, Manchester Head and Neck Cancer Centre, Manchester Royal Infirmary, Central Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom.

Circumferential defects of the hypopharynx are a reconstructive challenge. Various local, regional and free flaps have been described with each having advantages and disadvantages in terms of functional outcomes. The fasciocutaneous radial forearm free flap (RFFF) is one of the most common free flaps used for reconstructing circumferential hypopharyngeal defects. Read More

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http://dx.doi.org/10.1016/j.anorl.2016.11.014DOI Listing
February 2018
12 Reads

Cutaneous Basal Cell Carcinoma Arising in Odontogenic Cutaneous Fistula.

Arch Craniofac Surg 2017 Jun 26;18(2):141-144. Epub 2017 Jun 26.

Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine and Hospital, Gyeongsang National University, Jinju, Korea.

An odontogenic cutaneous fistula is a pathological communication between the outer skin surface of the face and the oral cavity. Facial cutaneous fistula is a complication of odontogenic infection that is often misdiagnosed with skin infection. We report a rare case, which was diagnosed as basal cell carcinoma based on the biopsy of skin lesions in the patient who had been diagnosed with odontogenic cutaneous fistula. Read More

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http://dx.doi.org/10.7181/acfs.2017.18.2.141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556897PMC
June 2017
24 Reads