title: [Postlaryngectomy peristomal recurrence].
abstract: 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.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Peking University, First Hospital, Beijing 100034, China. liu-yuhe@yeah.net
authors.forename: Y
authors.initials: Y
authors.lastname: Liu
authors.forename: S
authors.initials: S
authors.lastname: Xiao
authors.forename: M
authors.initials: M
authors.lastname: Guo
mesh_terms: 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