Artikel
Complications of laryngeal surgery
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Autoren
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Ion Rodica
- clinical hospital of emergency constanta, Constanta, Romania
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Gheorghe Ionel Comsa
- clinical hospital of emergency constanta, Constanta, Romania
| Veröffentlicht: | 22. April 2010 |
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Gliederung
Text
Introduction: Surgical treatment offer chance to cure laryngeal cancer but unfortunately different complications may occur.
Materials and methods: This paperwork is a retrospective study, of 1998–2008 period includes 509 patients with laryngeal cancer hospitalized in Constanta ENT Clinic.
A number of 344 patients received surgical treatment. Some patients suffered complications. Parameters of the study covered analysis of complications related to surgical treatment.
Results and discussion: From total of the 344 surgeries, 252 were total laringectomy, 90 partial laringectomy and 70 cases received reconstructive laringectomy.
There were counted a total of 121 intraoperative complications, postoperative early and late, and adverse effects of postoperative irradiation(radiodermitis and skin radionecrosis).
It was registered intraoperative and early or late postoperative complications related to tracheostomy or laryngectomy as: bleeding; damages the thyroid gland; subcutaneous emphysema; seroma and postoperative hematoma; suppurative wound; necrosis of peristomal soft tissues; impossible decannulation.
Conclusions: Complications of laryngeal surgery may be intraoperative, early or late postoperative.
They may be related to tracheotomy act, or laryngectomy itself.
Treatment complications include hygiene and dietary measures, training and improving swallowing in the postoperative period, strict aseptic and antisepsis measures, and improuving of surgical techniques.
