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Fistula; Salivary Duct or Gland clinical trials

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NCT ID: NCT02437825 Recruiting - Clinical trials for Fistula; Salivary Duct or Gland

Octreotide VS Placebo in Prevention of Salivary Fistulae After Post Radiation Salvage Surgery

Start date: October 2015
Phase: Phase 2
Study type: Interventional

Salivary fistulae have been the bane of surgical salvage in the era of primary chemoradiation for head and neck (H&N) cancers. The "blame"of prior chemoradiation tissue damage encouraged compensatory surgical techniques that focused on the insertion of non-irradiated tissue into the field. This study emphasizes a paradigm shift in the understanding and treatment of pharyngocutaneous fistulae. The detrimental effects of salivary enzymes on tissue healing and surgical anastomoses are addressed and novel treatment strategy is outlined.