Science and Innovations in MedicineScience and Innovations in MedicineНаука и инновации в медицине2500-13882618-754XFSBEI of Higher Education SamSMU of Ministry of Health of the Russian Federation50176910.35693/SIM501769Oncology and radiotherapyОнкология, лучевая терапияReview ArticleDelayed reconstruction of pharyngeal and pharyngoesophageal defects in patients with malignant neoplasms of the larynx and laryngopharynx after laryngectomyОтсроченные реконструкции фарингеальных и арингоэзофагеальных дефектов у пациентов со злокачественными новообразованиями гортани и гортаноглотки после ларингэктомииhttps://orcid.org/0000-0003-1765-6965KaganovOleg I.КагановО. И.
Russian Federation

MD, Dr. Sci. (Medicine), Professor, the Head of the Department of Oncology; Deputy chief physician for scientific work

д-р мед. наук, профессор, заведующий кафедрой онкологии; заместитель главного врача по научной работе

o.i.kaganov@samsmu.ruhttps://orcid.org/0000-0002-4782-2912SidorenkoAleksandra O.СидоренкоАлександра Олеговна
Russian Federation

MD, oncologist

врач-онколог

alex11bahareva@gmail.comhttps://orcid.org/0000-0003-3957-9526OrlovAndrei E.ОрловА. Е.
Russian Federation

MD, Dr. Sci. (Medicine), Chief physician, Professor of the Department of Healthcare Service Quality in the Institute of Postgraduate Education

д-р мед. наук; главный врач; профессор кафедры общественного здоровья и организации здравоохранения ИПО

info@samaraonco.ruhttps://orcid.org/0000-0002-2182-5429MakhoninAleksandr A.МахонинА. А.
Russian Federation

MD, Cand. Sci. (Medicine), assistant of the Department of Oncology; Head of the Oncology Department of Head and Neck Tumors

канд. мед. наук, ассистент кафедры онкологии; заведующий онкологическим отделением опухоли головы, шеи

makhoninAA@samaraonko.ruhttps://orcid.org/0000-0002-5321-6070GabrielyanAleksei G.ГабриелянА. Г.
Russian Federation

MD, Cand. Sci. (Medicine), assistant of the Department of Dentistry of the IPE; physician maxillofacial surgeon

канд. мед. наук, ассистент кафедры стоматологии ИПО; врач челюстно-лицевой хирург

Gabriel_002@mail.ruSamara State Medical UniversityФГБОУ ВО «Самарский государственный медицинский университет» Минздрава РоссииSamara Regional Clinical Oncology CenterГБУЗ «Самарский областной клинический онкологический диспансер»010320241003202510144492006202322082023Copyright ©; 2025, Kaganov O.I., Sidorenko A.O., Orlov A.E., Makhonin A.A., Gabrielyan A.G.Copyright ©; 2025, Каганов О.И., Сидоренко А.О., Орлов А.Е., Махонин А.А., Габриелян А.Г.2025Kaganov O.I., Sidorenko A.O., Orlov A.E., Makhonin A.A., Gabrielyan A.G.Каганов О.И., Сидоренко А.О., Орлов А.Е., Махонин А.А., Габриелян А.Г.https://creativecommons.org/licenses/by/4.0https://innoscience.ru/2500-1388/article/view/501769

Aim of the review – to investigate the current surgical approaches and complications of delayed reconstruction of pharyngeal and pharyngoesophageal defects in patients with malignant neoplasms of the larynx and laryngopharynx after laryngectomy using different reconstructive materials.

The most frequent complication after delayed reconstructive surgery was anastomosis incompetence with subsequent formation of fistula and stricture. The causes of this complication in the presence of viability of reconstructive plastic material included postradiation changes, inflammatory process in the tissues in the defect area, weakened nutritional status of the patient and a number of other reasons.

When planning delayed reconstruction of pharyngeal defects, a personalized approach is necessary in each clinical case in choosing the timing and type of plastic material.

Цель обзора – изучить существующие хирургические подходы и осложнения при отсроченной реконструкции фарингеальных и фарингоэзофагеальных дефектов у пациентов со злокачественными новообразованиями гортани и гортаноглотки после ларингэктомии с применением различного реконструктивного материала.

Наиболее частыми осложнениями после отсроченных реконструктивных операций являются несостоятельность анастомоза с последующим формированием свища и стриктуры. К причинам возникновения данных осложнений при наличии жизнеспособности реконструктивного пластического материала можно отнести постлучевые изменения, наличие воспалительного процесса в тканях в области дефекта, ослабленный нутритивный статус пациента и ряд других причин.

Таким образом, при планировании отсроченной реконструкции дефектов глотки в выборе сроков и вида пластического материала необходим персонифицированный подход в каждом клиническом случае.

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