CPT® Code 42955

Pharyngostomy is a surgical procedure that involves creating an opening in the pharynx, specifically for the purpose of external feeding or drainage. This procedure is typically indicated in cases where there has been significant injury or surgical intervention at a more proximal location in the pharynx, which may impede normal swallowing and require alternative methods for nutrition and secretion management. In instances of extensive injury or surgical removal of the pharynx without subsequent reconstruction, a pharyngostomy allows for the effective drainage of saliva and mucus, thereby preventing aspiration and other complications. The procedure involves making an incision in the lateral aspect of the neck, through which the proximal segment of the pharynx is brought out, everted, and sutured to the skin. This creates a stoma, or opening, through which a feeding tube or drainage device can be inserted, facilitating either nutritional support or the management of secretions. The careful execution of this procedure is crucial for patient recovery and quality of life, particularly in those unable to ingest food orally due to their medical condition.