title: Stomal recurrence in head and neck cancer patients with temporary tracheostomy.
abstract: OBJECTIVE
  Stomal recurrence following a temporary tracheostomy in the management of the head and neck squamous cell carcinoma (HNSCC) without laryngectomy is a rare finding. We studied the incidence and prognostic significance of stomal recurrence in patients who had a temporary tracheostomy.
  
  
  METHODS
  Data were obtained retrospectively from a database on all patients with a HNSCC tumour diagnosed and treated at our hospital between 1985 and 2012.
  
  
  RESULTS
  Of 491 patients who underwent temporary tracheostomy, six presented tumour recurrence in the stomal scar. The risk of stomal recurrence after a temporary tracheostomy was therefore 1.2% (6/491). Only one of the three patients who received salvage treatment achieved disease control.
  
  
  CONCLUSIONS
  Tumour recurrence in the stomal scar after a transitory tracheostomy in patients with head and neck carcinoma has an incidence of around 1% and very poor prognosis.
authors.affiliation: Otorhinolaryngology Department, Hospital General de Catalunya, San Cugat del Vallès, Barcelona, Spain.
authors.forename: Eduard
authors.initials: E
authors.lastname: Esteller
authors.affiliation: Otorhinolaryngology Department, Hospital de la Santa Creu i Sant Pau Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: Adriana
authors.initials: A
authors.lastname: Agüero
authors.affiliation: Otorhinolaryngology Department, Hospital de la Santa Creu i Sant Pau Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: María
authors.initials: M
authors.lastname: Martel
authors.affiliation: Otorhinolaryngology Department, Hospital de la Santa Creu i Sant Pau Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: Montserrat
authors.initials: M
authors.lastname: López
authors.affiliation: Otorhinolaryngology Department, Hospital de la Santa Creu i Sant Pau Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: Miquel
authors.initials: M
authors.lastname: Quer
authors.affiliation: Otorhinolaryngology Department, Hospital de la Santa Creu i Sant Pau Universitat Autònoma de Barcelona, Barcelona, Spain; CIBER de Bioingeniería, Biomateriales y Nanomedicina (CIBER-BBN), Barcelona, Spain. Electronic address: xleon@santpau.cat.
authors.forename: Xavier
authors.initials: X
authors.lastname: León
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D002921:Cicatrix / Q000473:pathology*; D005260:Female; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000473:pathology*; D010610:Pharyngeal Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D000077195:Squamous Cell Carcinoma of Head and Neck; D054047:Surgical Stomas / Q000473:pathology*; D014139:Tracheostomy; D055815:Young Adult
keywords: Head and neck carcinoma; Stomal recurrence; Tracheostomy; Tumour recurrence