Tyrosine Kinase Inhibitor Use and Wound Healing in Tracheoesophageal Punctures

被引:5
作者
Britt, Christopher J. [1 ]
Russell, Jonathon O. [2 ]
机构
[1] Loyola Univ, Med Ctr, Dept Otolaryngol, Chicago, IL 60611 USA
[2] Johns Hopkins Univ, Dept Otolaryngol, 601 N Caroline St,JHOC 6th Floor, Baltimore, MD 21287 USA
关键词
TEP; wound healing; tracheoesophageal fistula; tyrosine kinase inhibitor; TKI; laryngectomy; prosthesis; biologics; thyroid cancer; thyroid carcinoma; thyroidectomy; GROWTH-FACTOR; CANCER; VOICE;
D O I
10.1177/0145561319839805
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Tyrosine kinase inhibitors (TKIs) aid in prolonging life in patients with advanced locoregional thyroid malignancy. Such patients may undergo total laryngectomy for local disease control and tracheoesophageal puncture (TEP) for speech rehabilitation. Enlargement of TEP fistulas is usually attributed to wound healing issues and leads to major complications. Four laryngectomies with TEP were performed between 2015 and 2016 and subsequently placed on a TKI. Three patients developed a complication after TKI treatment, and 2 patients had a tracheoesophageal fistula. Patients should be counseled about possible wound healing risks associated with TKIs.
引用
收藏
页码:510 / 512
页数:3
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