title: Stomal recurrence after total laryngectomy: a 10-year review in Universiti Kebangsaan Malaysia Medical Center.
abstract: OBJECTIVE
  To determine the frequency of stomal recurrence in patients following total laryngectomy in our center and to compare the frequency of previously reported risk factors such as preoperative tracheostomy, subglottic invasion and the level of lymph node metastases, with the rest of the world.
  
  
  METHODS
  Clinical records of patients with carcinoma of the larynx who presented to Universiti Kebangsaan Malaysia (UKMMC) Otorhinolaryngology and Oncology clinics between January 1998 and December 2007 were reviewed.
  
  
  RESULTS
  A total of all 18 male patients who underwent total laryngectomy for carcinoma of the larynx within this 10 year period. The youngest patient was 49 years old and the eldest was 79 years old with mean age of 63 +/- 8 years. Twelve of them had a tracheostomy prior to surgery. Median duration from tracheostomy to definitive surgery was 28.5 days. Only 1 patient developed stomal recurrence.
  
  
  CONCLUSIONS
  The duration from tracheostomy and total laryngectomy was longer than what is accomplished in the developed countries but the frequency of stomal recurrence was still comparable to the rest of the world. The frequency of other previously reported risk factors namely subglottic invasion and lymph nodes metastases were comparably low.
authors: Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur.
authors: Nur Hashima
authors: NH
authors: bte Abdul Rashid
authors: Mohd Razif bin Mohamad
authors: MR
authors: Yunus
authors: Marina Mat
authors: MM
authors: bte Baki
authors: Mazita
authors: M
authors: bte Ami
authors: Primuharsa Putra bin Sabir Husin
authors: PP
authors: Athar
mesh_terms: D000368:Aged; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology* / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology*; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D054047:Surgical Stomas / Q000473:pathology*; D013965:Thyroidectomy; D014139:Tracheostomy