Intermediate
Technical
IVT
pharyngocutaneous fistula
Pronunciation: fah-RIN-go-kyu-TAY-nee-us
Abnormal communication between pharynx and skin surface, commonly occurring after laryngectomy.
Full Definition
A pharyngocutaneous fistula is an abnormal tract connecting the pharyngeal mucosa to the skin surface, most commonly developing as a complication following total laryngectomy. This fistula allows saliva and oral secretions to leak through the neck wound, potentially leading to wound breakdown, infection, and delayed healing. Risk factors include previous radiation therapy, poor nutritional status, and advanced tumor stage. Management typically involves conservative measures initially, with surgical repair reserved for persistent cases.
Usage
Usage note: Commonly abbreviated as PCF in clinical documentation.
In Context
- "The patient developed a pharyngocutaneous fistula on post-operative day five." — Post-operative note
- "Conservative management of the pharyngocutaneous fistula included NPO status and nasogastric feeding." — Treatment plan
Also known as
PCF
pharyngeal fistula
Don't confuse with
tracheoesophageal fistula
salivary fistula