Background: Laryngeal carcinoma is not uncommon worldwide. We conducted this study to comprehensively compare the outcome of stapler versus conventional suturing in total laryngectomy primary or salvage. Patients and Methods: This is a retrospective study conducted in our tertiary institute from 2015 to 2022 involving patients diagnosed with laryngeal carcinoma who underwent total laryngectomy either primary or salvage. We divided patients into 4 groups: primary or salvage laryngectomy, closed with stapler or manual suturing. The reported outcomes included : operative time, length of hospital stay, start of oral feeding, incidence of pharyngocutaneous fistula, positivity of surgical margins, and surgical site infection. Patients with multiple comorbidities and those requiring a flap for pharyngeal closure were excluded . Results: A total of 91 patients were included in our study. Pharyngocutaneous fistula rate was 19% in conventional patient group in comparison to 6.7% in stapler group for primary total laryngectomy while it was 12.5% for salvage with stapler and 25% for salvage with conventional. Hospital stay was 6 ± 1.5 days for stapler and 11.4 ± 2.9 days for conventional suturing in primary laryngectomy. It was 8.8 ± 1.3 days for stapler and 13.1 ± 1.8 for conventional suturing in salvage laryngectomy. There was highly significant difference found as regard mean operative time, start of oral feeding and hospital stay in favor of stapler use. Conclusion: Stapler use in total laryngectomy is is a simple, fast, and effective technique with tension free watertight closure, better hemostasis, less contamination of surgical field than manual suturing

Ahmed Abdelmoneim Teaima

Badr Eldin Mostafa

Khaled Mohamed Nabil

Ossama Mustafa Mady

Annals of Otology Rhinology & Laryngology

The Annals of Otology, Rhinology & Laryngology publishes original manuscripts of clinical and research importance in otolaryngology–head and neck medicine and surgery, otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. In-depth studies (supplements), papers of historical interest, and reviews of computer software and applications in otolaryngology are also published, as well as imaging, pathology, and clinicopathology studies, book reviews, and letters to the editor. AOR is the official journal of the American Broncho-Esophagological Association.

The Annals of Otology, Rhinology & Laryngology is a journal dedicated to otolaryngology and head and neck medicine and surgery, publishing original manuscripts of clinical and research significance. The scope includes otology, neurotology, bronchoesophagology, laryngology, rhinology, head and neck oncology and surgery, plastic and reconstructive surgery, pediatric otolaryngology, audiology, and speech pathology. The journal also features in-depth studies (supplements), papers of historical interest, reviews of computer software and applications in otolaryngology, as well as studies in imaging, pathology, and clinicopathology, book reviews, and letters to the editor. The Annals of Otology, Rhinology & Laryngology is the official journal of the American Broncho-Esophagological Association.

《Annals of Otology, Rhinology & Laryngology》是一本专注于耳鼻喉科及头颈医学与外科的期刊，发表临床和研究领域的重要原创手稿。内容涵盖耳科学、神经耳科学、支气管食道学、喉科学、鼻科学、头颈肿瘤及外科、整形与重建外科、儿科耳鼻喉科、听力学和语言病理学等。此外，期刊还会刊登深入研究（补充材料）、具有历史意义的论文、耳鼻喉科相关计算机软件及应用的评审，以及影像学、病理学和临床病理学研究、书评和给编辑的信件。《Annals of Otology, Rhinology & Laryngology》是美国支气管食道学会的官方期刊。

Category	Quartile
医学	4
医学, 耳鼻喉科学	4

Stapler Versus Manual Suturing for Pharyngeal Closure in Total Laryngectomy

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