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Published on: January 20, 2010
Stomal recurrence in head and neck cancer patients with temporary tracheostomy
Eduard Esteller1, Adriana Agüero2, María Martel2
1Otorhinolaryngology Department, Hospital General de Catalunya, San Cugat del Vallès, Barcelona, Spain.
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.
Conclusion:
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.
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