Τίτλος:
Evaluation of risk factors for stomal recurrence after total
laryngectomy
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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.
Συγγραφείς:
Yotakis, J
Davris, S
Kontozoglou, T
Adamopoulos, G
Περιοδικό:
Clinical Otolaryngology
Εκδότης:
Blackwell Science Ltd Oxford, UK
Λέξεις-κλειδιά:
risk factors; stomal recurrence; laryngectomy; laryngeal carcinoma
DOI:
10.1111/j.1365-2273.1996.tb01317.x
