title: Surgical stoma recurrence after total laringectomy.
abstract: Stoma recurrence after total laryngectomy is one of the most severe developments of squamous cell carcinoma of the larynx. Risk factors most strongly implicated in stoma recurrence have been subglottic invasion by the laryngeal tumor and tracheotomy prior to laryngectomy.
  
  
  OBJECTIVE
  Study the clinical findings of patients who underwent total laryngectomy and evaluate the probable risk factors to the development of stoma recurrence.
  
  
  METHODS
  Descriptive and retrospective study
  
  
  METHODS
  We studied data from 47 patients who underwent total laryngectomy for the treatment of laryngeal cancer between 1995 and 2004 and evaluated recurrences and risk factors.
  
  
  RESULTS
  Stoma recurrence developed in 10.6 per cent of them (5 cases). There was no significant correlation between stoma recurrence and subglottic invasion or prior tracheotomy.
  
  
  CONCLUSIONS
  Stoma recurrence still is one of the most lethal developments associated to laryngeal cancer. In the present study it was not possible to identify factors related to this recurrence. Further studies with a larger sample and a longer follow-up period are necessary to better understand this condition.
authors.affiliation: Otorhinolaryngology/Head and Neck Surgery Department, Hospital do Servidor Público Estadual de São Paulo, SP, Brazil. andresartini@uol.com.br
authors.forename: Andre Luis
authors.initials: AL
authors.lastname: Sartini
authors.forename: Antonio Sérgio
authors.initials: AS
authors.lastname: Fava
authors.forename: Pablo Henrique
authors.initials: PH
authors.lastname: de Faria
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D012189:Retrospective Studies; D012307:Risk Factors; D014140:Tracheotomy