Oropharyngocutaneous fistula—a case report of conservative management in a diabetic patient

Author:

Alshaalan Yazeed1ORCID,Althunayan Thamer23,Alwadi Fahad23,Alessa Mohammed2345,Waheed Sheikh23

Affiliation:

1. King Saud bin Abdulaziz University for Health Sciences , Riyadh , Saudi Arabia

2. Division of Otolaryngology-Head and Neck Surgery , Department of Surgery, King Abdulaziz Medical City, , Riyadh , Saudi Arabia

3. Ministry of National Guard Health Affairs , Department of Surgery, King Abdulaziz Medical City, , Riyadh , Saudi Arabia

4. Department of Otolaryngology-Head and Neck Surgery , College of Medicine, , Riyadh , Saudi Arabia

5. King Saud University , College of Medicine, , Riyadh , Saudi Arabia

Abstract

Abstract Oropharyngocutaneous fistula following deep neck space infections is a rare entity. Patients can present with feeding difficulty and food leakage through the wound. The fistula is suspected to have formed not only due to the infectious process but also due to the combination of transoral and transcervical approach. Infection eradication, aggressive wound care, control of risk factors, and strict NPO with NGT feeding are all important parts of management.

Publisher

Oxford University Press (OUP)

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