[Stomal recurrence after total laryngectomy: clinical and patological analysis of risk factors].
OBJECTIVE
The aim of this study is to evaluate risk factors for stomal recurrence and to state and emphasize the importance of these factors.


METHODS
This study was carried out retrospectively on 119 patients (116 males, 3 females; mean age 56.8 years; range 31 to 86 years) with larynx cancer who underwent total laryngectomy. All patients were examined for T-stage and location of primary tumor, tracheotomy (preoperative or postoperative) opening time, modality of applied treatment, presence of pharyngeal stoma fistula and presence of cervical lymph node metastasis in the postoperative period.


RESULTS
Five patients (4.2%) out of 119 had stomal recurrence. Development period of stomal recurrence after laryngectomy was found to be between six months and three years (mean: 16.6 months).


CONCLUSIONS
The treatment of this fatal complication is very difficult, and it has a poor prognostic nature. As a result, presence of subglottic involvement and advanced tumors in our cases are considered as main risk factors.
Department of Otolaryngology, Izmir Atatürk Training and Research Hospital, Izmir, Turkey.
Sedat
S
Oztürkcan
Cağlar
C
Calli
Riza
R
Dündar
Bilge
B
Tuna
Hüseyin
H
Katilmiş
Hale
H
Aslan
Ali Ekber
AE
Ilknur
Sinan
S
Başoğlu
Mehmet Ali
MA
Tayfun
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000401:mortality / Q000473:pathology* / Q000601:surgery; D011379:Prognosis; D012307:Risk Factors