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Care of laryngectomy stomas in general practice
Christopher Jackson1, Cameron Grigg2, Megan Green3
1BSc, MBBS, Resident Medical Officer, Department Otolaryngology and Head and Neck Surgery, Toowoomba Hospital, Qld.
Background:
Laryngectomy stomas are formed following excision of the larynx, usually for the treatment of an underlying malignancy. This is a permanent stoma in which the trachea is separated from the oesophagus and brought to an opening in the neck. The complication rate of laryngectomy stomas is reported to be more than 60%.
Objective:
The purpose of this article is to provide an overview of total laryngectomy stomas and inform general practitioners (GPs) of the frequently encountered complications, to improve stoma-related care and ultimately patient outcomes.
Discussion:
Numerous early and late complications can be encountered by a GP, some of which are potentially life-threatening and require prompt recognition. Care of patients who have had a laryngectomy is multi-disciplinary, and GPs are often the first point of contact. The importance of a well-informed GP who can treat the patient and identify when they require referral to a stomal therapy nurse, speech pathologist or surgeon cannot be understated.
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