TY - JOUR
TI - Evaluation of risk factors for stomal recurrence after total
laryngectomy
AU - Yotakis, J
AU - Davris, S
AU - Kontozoglou, T
AU - Adamopoulos, G
JO - Clinical Otolaryngology
PY - 1996
VL - 21
TODO - 2
SP - 135-138
PB - Blackwell Science Ltd Oxford, UK
SN - 1749-4478
TODO - 10.1111/j.1365-2273.1996.tb01317.x
TODO - risk factors; stomal recurrence; laryngectomy; laryngeal carcinoma
TODO - The development of a stomal recurrence after total laryngectomy is a
complication with a dismal prognosis. The risk factors and mechanisms
involved are still not well understood. In this review of 352 patients,
21 (6%) developed a stomal recurrence. We studied the group of 74
patients (21%) with subglottic involvement separately. There was no
significant difference in the rate of stomal recurrence in those with
emergency tracheostomy (23.3%) as compared with those with
intra-operative tracheostomy (18.2%). Stomal recurrence was more
strongly associated with subglottic involvement itself (20.3%) and T-4
stage (15.3%). The findings suggest that submucosal extension and lymph
node metastases are probably more important mechanisms of stomal
recurrence than cancer cell implantation.
ER -