Role of vascularized tissue flap in reducing the incidence of pharyngocutaneous fistula following salvage total laryngectomy: a meta-analysis study

Abstract

Laryngeal carcinoma is considered as a very common cancer among head and neck cancers. There are many risk factors for it, the most important one of which is smoking. According to the site of the primary tumor and it's stage, the treatment is established. The general conditions of the patients, The economic status, the equipments available and the expert doctors availability also contributes in the choice of treatment. Surgical and non surgical management of the tumor are always available. Surgical management ranges from simple stripping of the vocal cords to partial and total laryngectomy. Non surgical management includes all the regimens of radiotherapy being alone or concomitant with chemotherapy especially in early stage of tumor or for the advanced laryngeal cancer. Nowadays, people all over the world are looking forward to better quality of life. and according to this idea the conservational non surgical treatment of cancer increasingly is applied. As a result the number of patients in need to a salvage laryngectomy after failure of primary treatment increases and also the side effects of salvage laryngectomy became common. One of the complications of the salvage