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Risk factors involved in stomal recurrence following laryngectomy

Published online by Cambridge University Press:  29 June 2007

F. Esteban ,
J. A. Moreno ,
M. Delgado-Rodriguez  and
A. Mochon
F. Esteban
Affiliation:
Department of Otorhinolaryngology, ‘Virgen de las Nieves’ Hospital, Granada
J. A. Moreno
Affiliation:
Department of Otorhinolaryngology, ‘Virgen de las Nieves’ Hospital, Granada
M. Delgado-Rodriguez
Affiliation:
Unit of Clinical Epidemiology, ‘Virgen de las Nieves’ Hospital, Granada Department of Preventive Medicine, School of Medicine, Granada, Spain
A. Mochon
Affiliation:
Department of Otorhinolaryngology, ‘Virgen de las Nieves’ Hospital, Granada
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Abstract

Stomal recurrence after surgery for laryngeal tumours is an extremely serious complication, with a dismal prognosis despite aggressive surgical therapy or high-dose irradiation. Data from 209 patients who underwent total laryngectomy for cancers of the larynx and hypopharynx were retrieved from the registry of the Department of Otorhinolaryngology at the Hospital ‘Virgen de las Nieves’ of Granada. Stomal recurrence developed in 8.1 per cent of them (17 cases). We analysed several parameters from each case: first, those parameters significantly associated with stomal recurrence were detected, and secondly, a logistic regression analysis was done. Three factors were found independently related to stomal recurrence: T-staging, site of the primary tumour and prior tracheostomy. Together with a review of the literature, we discuss our findings and a proposal for management of the high risk patient.

Keywords

Laryngeal neoplasmsLaryngectomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 6 , June 1993 , pp. 527 - 531
Copyright
Copyright © JLO (1984) Limited 1993

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