PMID: 517931Nov 1, 1979Paper

Stomal recurrence following laryngectomy: a critical evaluation

The Annals of Otology, Rhinology, and Laryngology
R A WeismanP H Ward

Abstract

Recurrent tumor in or around the tracheal stoma following laryngectomy almost always terminates in a fatal outcome. Several investigators have attempted to determine the factors that predispose a patient to stomal recurrence, but their conclusions are not entirely in agreement. The records of 251 consecutive laryngectomy patients treated at the UCLA Hospital between 1955 and 1977 were reviewed. The variables evaluated included type of operation, preoperative tracheostomy, interval from operation to recurrence, presence of neck metastases, performance of thyroidectomy, site of lesion, and control of tumor margins. While certain events, such as preoperative tracheostomy, appeared more frequently than others in the stomal recurrence patients, no single factor or group of factors could explain all the recurrences. It appears that stomal recurrences arise from heterogeneous causes. Good planning and utilization of the principles outlined should reduce the incidence of this dreaded complication.

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Citations

Jan 1, 1983·Archives of Oto-rhino-laryngology·L BignardiA Staffieri
Jul 1, 1993·The Journal of Laryngology and Otology·A S JonesP M Stell
Feb 10, 2009·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Federico AmpilRoxana Baluna
Feb 4, 2009·Head & Neck·Umberto CalicetiRiccardo Cipriani
Jan 1, 1993·American Journal of Otolaryngology·A A NarulaP J Bradley
Jun 1, 1993·The Journal of Laryngology and Otology·F EstebanA Mochon
Aug 9, 2003·The Annals of Otology, Rhinology, and Laryngology·Roberto SantoroGianni Polli
May 21, 1999·The Annals of Otology, Rhinology, and Laryngology·O LaccourreyeD Brasnu
Aug 3, 2017·The Annals of Otology, Rhinology, and Laryngology·Jinyu MeiYehai Liu
Jan 1, 1996·Head & Neck·X LeónL de Andrés
Feb 1, 1990·Clinical Otolaryngology and Allied Sciences·M H WickhamP J Bradley
Apr 9, 2002·Acta Oto-laryngologica·Alfio FerlitoAshok R Shaha
Feb 1, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Yutaka ImauchiKeiichi Ichimura
Sep 1, 1994·Head & Neck·R L FooteV J Suman
Feb 1, 1991·Clinical Otolaryngology and Allied Sciences·T J RockleyA P Reid
Jul 1, 1990·Journal of Surgical Oncology·G D BarrK C Liu
Nov 1, 1990·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J RubinE N Myers

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