gms | German Medical Science

GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

Deutsche Gesellschaft für Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie e.V. (DGHNOKHC)

ISSN 1865-1038

Local recurrence of laryngeal carcinoma

Poster Onkologie

  • corresponding author Desislava Skerleva - Ministry of Interior Medical Institute, Sofia, Bulgaria
  • Stefan Stoyanov - Ministry of Interior Medical Institute, 1606 Sofia, Bulgaria
  • Julian Rangachev - Tsaritsa Joanna University Hospital, Sofia, Bulgaria
  • Katya Assenova - Military Medical Academy, 1606 Sofia, Bulgaria

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2011;7:Doc13

doi: 10.3205/cpo000602, urn:nbn:de:0183-cpo0006028

Published: April 14, 2011

© 2011 Skerleva et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Abstract

Stoma recurrence following total laryngectomy is one of the most severe complications with extremely poor prognosis.

Objective: The aim of our study is to analyze the risk factors for stoma recurrence development and to highlight the measures for prevention.

Materials and methods: We preformed retrospective study on 530 patients who underwent total laryngectomy at Queen Giovanna Hospital end Ministry of Interior Medical Institute, Sofia for a period of 2 years.

Results: Stoma recurrence developed in 9 cases. Our analysis reveals that primary site, T stage, preoperative tracheotomy and paratracheal lymph node metastasis are significant risk factors for stoma recurrence.

Conclusion: In spite of extensive surgery, radio and chemotherapy the prognosis is very poor. Considering the high rate of mortality, the prevention and intensive follow-up for patients with risk factors is of great importance in order to reduce the frequency of this disease.