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82nd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

01.06. - 05.06.2011, Freiburg

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Local recurrence of laryngeal carcinoma

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  • 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

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 82. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Freiburg i. Br., 01.-05.06.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11hnod256

doi: 10.3205/11hnod256, urn:nbn:de:0183-11hnod2563

Published: April 19, 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

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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.