{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:41:34Z","timestamp":1772160094757,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>We aimed to compare the results of pharyngoplasty by two different stapler techniques after total laryngectomy in terms of fistula formation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty\u2010nine patients who had undergone total laryngectomy were enrolled in the study. The patients were divided into three groups according to the type of closure of the pharyngoesophageal defect. Group 1: Pharyngeal defects were closed in a T\u2010type shape by stapler, Group 2: Pharyngeal defects were repaired in a vertical plane using stapler, and Group 3: The control group in which manual closure with suture material was performed. Demographic data, pharyngocutaneous fistula (PCF) rate, pharyngeal closure time during surgery, the transition time to oral feeding, and hospital stay duration (time) of patients were evaluated and compared in the postoperative period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No significant difference was found in the demographic parameters and PCF rates between the groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Restarting oral feeding and length of hospital stay did not differ significantly between the groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There is no difference between T\u2010shaped closure and vertical closure in terms of fistula formation in stapler pharyngoplasty. The T\u2010shaped closure method is comfortable and effective, due to the anatomy of the jaw in the vallecular region and therefore can be preferred as vertical closure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.70073","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T14:15:52Z","timestamp":1765894552000},"page":"341-347","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["T\u2010Shaped Pharyngoplasty: Assessing the Impact of Stapler Use on Fistula Development"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5900-520X","authenticated-orcid":false,"given":"Sanem Ok\u015fan","family":"Erkan","sequence":"first","affiliation":[{"name":"Adana City Training and Research Hospital, ENT Department University of Health and Science  Adana Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5074-4575","authenticated-orcid":false,"given":"Nur Y\u00fccel","family":"Ekici","sequence":"additional","affiliation":[{"name":"Adana Ortadogu Hospital  Adana Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7120-4962","authenticated-orcid":false,"given":"Ay\u015fe","family":"Karao\u011fullar\u0131ndan","sequence":"additional","affiliation":[{"name":"Adana City Training and Research Hospital  Adana Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5675-0420","authenticated-orcid":false,"given":"Zeynel Abidin","family":"Erkan","sequence":"additional","affiliation":[{"name":"Private Clinic  Adana Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0709-1887","authenticated-orcid":false,"given":"Gokhan","family":"Kuran","sequence":"additional","affiliation":[{"name":"ENT Department Karabuk University  Karabuk Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8780-5781","authenticated-orcid":false,"given":"\u0130lhami","family":"Y\u0131ld\u0131r\u0131m","sequence":"additional","affiliation":[{"name":"Adana City Training and Research Hospital, ENT Department University of Health and Science  Adana Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23804"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199903)21:2<131::AID-HED6>3.0.CO;2-F"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3180332e39"},{"issue":"6","key":"e_1_2_12_5_1","first-page":"29","article-title":"K Voprosu Zashivaniia Defekta Glotki Pri Laring\u00e9ktomii [Suturing of a Laryngeal Defect in Laryngectomy]","volume":"33","author":"Luk'ianchenko A. G.","year":"1971","journal-title":"Vestnik Otorinolaringologii"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20280"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198201000-00004"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-2111-7"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-0945-4"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23326"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.5152\/tao.2019.4469"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28737"},{"issue":"2","key":"e_1_2_12_13_1","first-page":"94","article-title":"Stapler Suture of the Pharynx After Total Laryngectomy","volume":"34","author":"Dedivitis R. A.","year":"2014","journal-title":"Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico\u2010Facciale"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00463619"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100094974"},{"issue":"3","key":"e_1_2_12_16_1","first-page":"118","article-title":"Linear Stapler Closure of the Pharynx During Total Laryngectomy: A 15\u2010Year Experience (From Closed Technique to Semi\u2010Closed Technique)","volume":"27","author":"Altissim G.","year":"2007","journal-title":"Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico\u2010Facciale"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1685155"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-024-08593-1"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-2180-7"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200008000-00034"},{"issue":"5","key":"e_1_2_12_21_1","first-page":"655","article-title":"Pharyngeal Mucosal Closure in Total Laryngectomy: Comparison Between Vertical and T\u2010Shaped Closure","volume":"92","author":"Montemayor\u2010Alatorre A.","year":"2024","journal-title":"Cirugia y Cirujanos"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-020-02086-3"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.03.022"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003196"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941112000510"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.5455\/medarh.2022.76.363-367"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.70073","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/coa.70073","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.70073","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T06:37:24Z","timestamp":1771051044000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.70073"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,16]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/coa.70073"],"URL":"https:\/\/doi.org\/10.1111\/coa.70073","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/COA.70073\/v3\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.70073\/v3\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.70073\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.70073\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.70073\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.70073\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.70073\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.70073\/v1\/decision1","asserted-by":"object"}]},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,16]]},"assertion":[{"value":"2025-01-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}