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A study of peristomal recurrence
M el Shennawy1, A Fayek, L el Sharkawy
1Cairo University, Department of Otorhinolaryngology, Faculty of Medicine, Kasr el-Aini, Egypt.
Revue De Laryngologie - Otologie - Rhinologie
|September 21, 2000
Summary
Peristomal recurrence after laryngectomy affects 6% of patients. Key risk factors include subglottic tumor involvement, advanced T4 stage, and lymph node metastasis.
Area of Science:
- Otolaryngology
- Oncology
- Surgical Oncology
Background:
- Laryngectomy is a common treatment for laryngeal cancer.
- Peristomal recurrence is a significant complication following laryngectomy.
- Understanding risk factors is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the incidence of peristomal recurrence in laryngectomized patients.
- To identify correlations between peristomal recurrence and clinicopathological factors.
- To analyze the impact of emergency tracheostomy on peristomal recurrence.
Main Methods:
- Retrospective and prospective study of 435 laryngectomized patients.
- Statistical analysis of 26 patients with peristomal recurrence.
- Evaluation of primary tumor site, stage, nodal metastases, and tracheostomy timing.
Main Results:
- Peristomal recurrence observed in approximately 6% of patients.
- Significant correlation found between peristomal recurrence and subglottic area involvement.
- Significant correlation found between peristomal recurrence and T4 stage primary tumors.
- Significant correlation found between peristomal recurrence and nodal metastases.
- No correlation identified between peristomal recurrence and emergency tracheostomy performed >48 hours prior to surgery.
Conclusions:
- Subglottic involvement, T4 tumor stage, and nodal metastases are significant risk factors for peristomal recurrence.
- Emergency tracheostomy timing does not appear to influence peristomal recurrence.
- These findings can inform surgical planning and patient monitoring to reduce recurrence rates.