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Tracheostomy and peristomal recurrence

J J Fagan1, J W Loock

  • 1Department of Otolaryngology, Groote Schuur Hospital, Cape Town, South Africa.

Clinical Otolaryngology and Allied Sciences
|August 1, 1996
PubMed
Summary
This summary is machine-generated.

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Emergency tracheostomy before laryngectomy for laryngeal carcinoma does not independently cause peristomal recurrence. This study found no significant difference in recurrence rates between patients with and without prior tracheostomy.

Area of Science:

  • Otolaryngology
  • Surgical Oncology

Background:

  • Peristomal recurrence is a concern after laryngectomy for laryngeal cancer.
  • Tracheostomy performed before laryngectomy has been anecdotally linked to peristomal recurrence.
  • The causal relationship between tracheostomy and peristomal recurrence remains unclear.

Purpose of the Study:

  • To investigate whether tracheostomy itself, as an independent factor, contributes to peristomal recurrence after laryngectomy for laryngeal carcinoma.
  • To differentiate the effect of tracheostomy from other factors like tumor stage.

Main Methods:

  • Retrospective analysis of 43 patients with T3 glottic carcinomas.
  • Patients were treated with total laryngectomy and radiotherapy.
  • Comparison of peristomal recurrence rates between patients who underwent prior tracheostomy and those who did not.

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Main Results:

  • No statistically significant difference in peristomal recurrence was observed between the tracheostomy and non-tracheostomy groups.
  • The time interval between tracheostomy and laryngectomy did not correlate with peristomal recurrence incidence.

Conclusions:

  • Tracheostomy, when considered as an independent variable, does not appear to cause peristomal recurrence in patients with laryngeal carcinoma.
  • The association of tracheostomy with peristomal recurrence may be confounded by factors such as subglottic or locally advanced tumors.