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ENT · Larynx: laryngectomy complication
Sample itemWhat is the commonest early complication after total laryngectomy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Pharyngocutaneous fistula
Pharyngocutaneous fistula, leakage of saliva through the pharyngeal suture line, is the commonest early complication, more so after radiotherapy. Stomal stenosis is a later problem.
Option by option
A. Chylous leak
Chyle leak occurs after neck dissection.
B. Pneumothorax
Pneumothorax is not typical.
C. Pharyngocutaneous fistula (correct)
Correct. Pharyngocutaneous fistula is the commonest.
D. Hypocalcaemia
Hypocalcaemia is less common.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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