[Stomal recurrence after laryngectomy. An inevitable late complication].
Postlaryngectomy tumoral recurrence on the stoma is a terrible late complication that has a fatal outcome. In spite of advances in laryngeal surgery and modern reconstructive techniques, it is still a major cause of death in patients with laryngeal cancer. In a review of 500 patients who underwent surgery for laryngeal cancer in 1981-86 and 1995-97, we found no changes in the frequency of stomal recurrence between periods (4% in both periods). Stomal recurrence was associated in our study with subglottic extension and with transglottic lesions. Previous tracheotomy was not a decisive factor in the appearance of stomal recurrence in our patients.
Martín Villares
C
C
Departamento de Cirugía II-ORL, Hospital Clínico San Carlos de Madrid, Universidad Complutense de Madrid (UCM).
Pérez Carretero
M
M
Ortega Medina
L
L
González Gimeno
M J
MJ
Iglesias Moreno
M C
MC
Poch Broto
J
J
D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy; D009364:Neoplasm Recurrence, Local; D018365:Neoplasm, Residual; D012189:Retrospective Studies; D014139:Tracheostomy