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Management of Parastomal Recurrence Following Total Laryngectomy
Jonathan Fussey1, Akshay Kudpaje2, Jonathan Clark3,4,5
1Department of Head and Neck Surgery, University Hospitals Birmingham, Birmingham, UK.
Abstract:
Parastomal recurrence occurs in around 5% of patients undergoing total laryngectomy for laryngeal squamous cell carcinoma. It carries a poor prognosis which has changed little over the last 50 years, and poses a significant challenge to the head and neck surgeon. At present, surgical excision offers the only realistic chance of cure, although patients must be selected carefully following thorough work-up and in-depth multidisciplinary team discussion. This article provides a review of the literature on the management of parastomal recurrence following total laryngectomy.
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