, Volume 67, Supplement 2, pp 77–79 | Cite as

Endoscopic negative pressure therapy (ENPT) of a post-laryngectomy pharyngocutaneous fistula: first report of a new treatment method

  • J. Loeck
  • H.-J. von Lücken
  • W. Kehrl
  • G. LoskeEmail author
Case reports


In the current first report, it is shown how a post-laryngectomy pharyngocutaneous fistula was successfully closed by endoscopic negative pressure therapy (ENPT; also termed endoscopic vacuum therapy, EVT). The duration of negative pressure treatment was 14 days. Up until now, ENPT has been used for treatment of transmural defects in the rectum and esophagus. The new endoscopic method can also be used in the ENT field for closure of pharyngocutaneous fistulas.


Respiratory tract fistula Cutaneous fistula Wound closure techniques Negative-pressure wound therapy Drainage 

Endoskopische Unterdrucktherapie einer pharyngokutanen Fistel nach Laryngektomie – Erstbeschreibung eines neuen Therapieverfahrens



We would like to thank the nursing staff at the interdisciplinary endoscopic unit and our colleagues in the department of anaesthesiology.

Compliance with ethical guidelines

Conflict of interest

G. Loske is a consultant for Lohmann & Rauscher GmbH & Co. KG. J. Loeck, H.-J. von Lücken and W. Kehrl declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors. Consent was obtained from all patients identifiable from images or other information within the manuscript. In the case of underage patients, consent was obtained from a parent or legal guardian.

The supplement containing this article is not sponsored by industry.


  1. 1.
    Kuehn F, Loske G, Schiffmann L, Gock M, Klar E (2017) Endoscopic vacuum therapy for various defects of the upper gastrointestinal tract. Surg Endosc 31(9):3449–3458CrossRefGoogle Scholar
  2. 2.
    Loske G, Schorsch T, Müller C (2011) Intraluminal and intracavitary vacuum therapy for esophageal leakage: a new endoscopic minimally invasive approach. Endoscopy 43(6):540–544CrossRefGoogle Scholar
  3. 3.
    Loske G, Schorsch T, Rucktäschel F, Schulze W, Riefel B, van Ackeren V, Müller C (2018) Open-Pore Film Drainage (OFD)—a new multipurpose tool for Endoscopic Negative Pressure Therapy (ENPT). Endosc Int Open 6(7):E865–E871. CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Wallstabe I, Tiedemann A, Schiefke I (2012) Endoscopic vacuum-assisted therapy of infected pancreatic pseudocyst using a coated sponge. Endoscopy 44(Suppl 2):E49–E50PubMedGoogle Scholar
  5. 5.
    Sayles M, Grant DG (2014) Preventing Pharyngo-Cutaneous Fistula in total laryngectomy: a systematic review and meta-analysis. Laryngoscope 124(5):1150–1163CrossRefGoogle Scholar
  6. 6.
    Boscolo-Rizzo P, De Cillis G, Marchiori C, Carpenè S, Da Mosto MC (2008) Multivariate analysis of risk factors for Pharyngocutaneous Fistula after total laryngectomy. Eur Arch Otorhinolaryngol 265(8):929–936CrossRefGoogle Scholar
  7. 7.
    Reiter M, Harréus U (2013) Vacuum assisted closure in the management of wound healing disorders in the head and neck: a retrospective analysis of 23 cases. Am J Otolaryngol 34(5):411–415CrossRefGoogle Scholar
  8. 8.
    Loske G, Müller CT (2019) Tips and tricks for endoscopic negative pressure therapy. Chirurg 90(Suppl 1):7–14. CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  • J. Loeck
    • 1
  • H.-J. von Lücken
    • 1
  • W. Kehrl
    • 1
  • G. Loske
    • 2
    Email author
  1. 1.Department of Otorhinolaryngology, Head and Neck SurgeryKath. Marienkrankenhaus Hamburg gGmbhHamburgGermany
  2. 2.Department for General, Visceral, Thoracic and Vascular SurgeryKath. Marienkrankenhaus Hamburg gGmbHHamburgGermany

Personalised recommendations