Abstract
Postoperative wound dehiscence, especially after radiotherapy, is often a serious complication and therapeutic challenge in head and neck surgery. We report a case involving a 70-year-old man who underwent a salvage total laryngectomy for recurrent laryngeal cancer with previous radiotherapy and thereafter developed a pharyngocutaneous fistula (PCF). Various procedures, including debridement and reconstruction using a deltopectoral flap, were performed to control the inflammation and develop granulation tissue. However, a pinhole fistula still remained. On the 184th postoperative day, we filled the PCF with fibrin glue, which finally resulted in closure of the fistula. Fibrin glue is simple to use. This case report suggests that filling a small PCF with fibrin glue is an effective treatment method and may be a potential therapeutic option.
