Pharyngocutaneous fistulae usually follows oncologic resection of oropharyngeal, hypopharyngeal, or laryngeal tumors. Once this occurs, saliva pours into the neck and this may lead to skin breakdown, flap necrosis, vessel exposure, and/or rupture. Initially erythema and tenderness in the lower neck incision or skin flap are present, which leads to the development of a fistula. There may be an associated pyrexia and leukocytosis. The extent of the fistula will become apparent over a number of days and is primarily dependent on the degree of mucosal separation at the site of closure. With massive fistulae, the entire neck skin may slough, exposing major neural and vascular structures.
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Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.