Objective: Pharyngocutaneous fistula is a serious complication following total laryngectomy. We report a simple technique which is useful in assessing the adequacy of pharyngeal closure following total laryngectomy.
Method: Installation of 1.5 per cent hydrogen peroxide into the oral cavity, while observing for leakage at the pharyngeal repair.
Results: We have found this technique to be useful in 22 patients undergoing total laryngectomy with pharyngeal resection and neck dissection.
Conclusion: This method ensures that pharyngeal closure has been technically adequate.