[Postlaryngectomy peristomal recurrence].
OBJECTIVE
To study the etiopathology, diagnosis and management of peristomal recurrence after laryngectomy, and the prevention of peristomal recurrence.


METHODS
Retrospective analysis of clinical management and outcomes of 16 cases of peristomal recurrence.


RESULTS
The subglottic extension of laryngeal cancer and peritracheal metastasis may result in peristomal recurrence. The stomal resection with mediastinal dissections and the use of the pectoralis major myocutaneous flap were done. The survival period of 11 cases surgically treated was longer than that of 5 cases irradiated or untreated.


CONCLUSIONS
Surgical management would improve the survival, but overall prognosis is dismal and attention should be focused on prevention. It is evident that early diagnosis of stomal recurrences will yield good results.
Liu
Y
Y
Department of Otorhinolaryngology Head and Neck Surgery, Peking University, First Hospital, Beijing 100034, China. liu-yuhe@yeah.net
Xiao
S
S
Guo
M
M
D000368:Aged; D005260:Female; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000209:etiology* / Q000517:prevention & control*; D012189:Retrospective Studies; D014140:Tracheotomy