Hostname: page-component-8448b6f56d-gtxcr Total loading time: 0 Render date: 2024-04-23T14:59:40.832Z Has data issue: false hasContentIssue false
  • English
  • Français

Risk factors involved in stomal recurrence following laryngectomy

Published online by Cambridge University Press:  29 June 2007

F. Esteban ,
J. A. Moreno ,
M. Delgado-Rodriguez  and
A. Mochon
F. Esteban
Affiliation:
Department of Otorhinolaryngology, ‘Virgen de las Nieves’ Hospital, Granada
J. A. Moreno
Affiliation:
Department of Otorhinolaryngology, ‘Virgen de las Nieves’ Hospital, Granada
M. Delgado-Rodriguez
Affiliation:
Unit of Clinical Epidemiology, ‘Virgen de las Nieves’ Hospital, Granada Department of Preventive Medicine, School of Medicine, Granada, Spain
A. Mochon
Affiliation:
Department of Otorhinolaryngology, ‘Virgen de las Nieves’ Hospital, Granada
Get access Rights & Permissions [Opens in a new window]

Abstract

Stomal recurrence after surgery for laryngeal tumours is an extremely serious complication, with a dismal prognosis despite aggressive surgical therapy or high-dose irradiation. Data from 209 patients who underwent total laryngectomy for cancers of the larynx and hypopharynx were retrieved from the registry of the Department of Otorhinolaryngology at the Hospital ‘Virgen de las Nieves’ of Granada. Stomal recurrence developed in 8.1 per cent of them (17 cases). We analysed several parameters from each case: first, those parameters significantly associated with stomal recurrence were detected, and secondly, a logistic regression analysis was done. Three factors were found independently related to stomal recurrence: T-staging, site of the primary tumour and prior tracheostomy. Together with a review of the literature, we discuss our findings and a proposal for management of the high risk patient.

Keywords

Laryngeal neoplasmsLaryngectomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 6 , June 1993 , pp. 527 - 531
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alvarez-Vicent, J. J., Bruzon-Cardiel, et al. (1982) Laringuectomía de urgencias; recidivas precoces en traqueostoma. Acta Otorrinolaringologica Española 33: 204–209Google Scholar
Armstrong, M., Price, J. C. (1992) Tumour implantation in a tracheostomy. Otolaryngology—Head and Neck Surgery 106: 400–403CrossRefGoogle Scholar
Baluyot, S. T., Shumrick, D. A., Everts, E. C. (1971) Emergency laryngectomy. Archives of Otolaryngology 94: 414–417Google Scholar
Barr, G. D., Robertson, A. G., Liu, K. C. (1990) Stomal recurrence: A separate entity? Journal of Surgical Oncology 44: 176–179Google Scholar
Batsakis, J. G., Hybels, R., Rice, D. H. (1976) Laryngeal carcinoma: stomal recurrence and distant metastasis. In Centennial Conference on Laryngeal Cancer. (Alberti, P. W., Bryce, D. P., eds.), Appleton-Century-Crofts, New York.Google Scholar
Bauer, W. C., Edwards, D. L, McGavran, M. H. (1962) A critical analysis of laryngectomy in the treatment of epidermoid carcinoma of the larynx. Cancer 15: 263–270Google Scholar
Bonneau, R. A., Lehman, R. H. (1975) Stomal recurrence following laryngectomy. Archives of Orolaryngology 101: 408–412Google Scholar
Breneman, J. L., Bradshaw, A., Gluckman, J., Aron, B. S. (1988) Prevention of stomal recurrence in patients requiring emergency tracheostomy for advanced laryngeal and pharyngeal tumours. Cancer 62: 802–8053.0.CO;2-J>CrossRefGoogle Scholar
Burnam, J. A., Hudson, W. R. (1967) Stomal recurrence of malignancy: An evaluation and its significance in the postlaryngectomy patient. South African Medical Journal 60: 823–826Google Scholar
Capella, G., Morello, A. (1978) Tratamiento de las recidivas del cancer de laringe. Anales ORL Iberamericanos 5: 517–532.Google Scholar
Castro, A., Ostos, P., Mellado, R., Cantillo, E., López-Villarejo, P. (1991) Nuestra experiencia en recidiva estomal de laringuectomizados con traqueostomia previa. Anales de Otorrinolaringología (Esp) 6: 57–60Google Scholar
Condon, H. A. (1969) Postlaryngectomy stomal recurrence: the influence of endotracheal anaesthesia. British Journal of Anaesthesia 41: 531–533Google Scholar
Davis, R. K., Shapshay, S. M. (1980) Peristomal recurrence: pathophysiology, prevention and treatment. ORL Clinics of North America 13: 499–508Google Scholar
De Jong, P. C. (1969) Intubation and tumour implantation in laryngeal carcinoma. Practica Otorhinolaryngologica 31: 119–121Google Scholar
Gluckman, J. L., Hamaker, R. C., Schuller, D. E., Weissler, M. C., Charles, G. A. (1987) Surgical salvage for stomal recurrence: a multi-institutional experience. Laryngoscope 97: 1025–1029CrossRefGoogle ScholarPubMed
Griebie, M. S., Adams, G. L. (1987) ‘Emergency’ laryngectomy and stomal recurrence. Laryngoscope 97: 1020–1024Google Scholar
Harris, H. H., Butler, E. (1968) Surgical limits in cancer. Archives of Otolaryngology 87: 64–67Google ScholarPubMed
Harrison, D. F N. (1971) The pathology and management of subglottic cancer. Annals of Otology, Rhinology, Laryngology 84: 1–7Google Scholar
Harrison, D. F. N. (1975) Laryngectomy for subglottic lesions. Latyngoscope 85: 1208–1210Google Scholar
Harrison, D. F. N. (1986) Surgical treatment of carcinoma of the larynx. Cancer Treatment Reviews 13: 45–60Google Scholar
Harrison, D. F. N. (1990) The value of manubrial resection in avoiding stomal recurrence. 32nd Annual Meeting of the American Society for Head and Neck Surgery. Palm Beach, Florida, April 1990.Google Scholar
Hoover, W. B., King, B. D. (1954) Emergency laryngectomy. Archives of Otolaryngology 59: 431–433Google Scholar
Keim, W. F, Shapiro, M. J., Rosen, H. O. (1965) Study of postlaryngectomy stomal recurrences. Archives of Otolaryngology 81: 183–186CrossRefGoogle Scholar
Kirchner, J. A., Cornoy, J. A., Holmes, R. E. (1974) Transglottic cancer. Archives of Otolaryngology 99: 247–251Google Scholar
Kleinbaum, D. G., Kupper, L. L., Morgenstern, H. (1982) Epidemiologic Research. Lifetime Learning Publications, Belmont (CA).Google Scholar
Kleinsasser, O. (1987) Tumors of the Larynx and Hypopharynx. Springer-Verlag, Berlin.Google Scholar
Kuehn, P. G., Tennant, R. (1971). Surgical treatment of stomal recurrences in cancer of the larynx. American Journal of Surgery 122: 445–450Google Scholar
Lahoz, T., Faubel, M., Campos, J. J. (1989). Las recidivas periestomales tras, laringuectomía total. Anales ORL Iberoamericanos 26: 649–657Google Scholar
Latella, P. D. (1952) An analysis of 240 cases of cancer of the larynx, with respect to the terminal phases of death. Annals of Otology 61: 266–275Google Scholar
Li, W., Ellerbroeck, N. A., Libshitz, H. L. (1990) Primary malignant tumors of the trachea. Cancer 66: 894–8993.0.CO;2-W>CrossRefGoogle ScholarPubMed
Loewy, A., Laker, H. I. (1968) Tracheal stoma problems. Archives of Otolaryngology 87: 477–483CrossRefGoogle ScholarPubMed
Mantravadi, R., Katz, A. M., Skölnik, E. M., Becker, S., Freehling, D. J., Friedman, M. (1981) Stomal recurrence: critical analysis of risk factors. Archives of Otolaryngology, Head and Neck Surgery 107: 735–738Google Scholar
McCombe, A., Stell, P. M. (1991) Emergency laryngectomy. Journal of Laryngology and Otology 105: 463–465Google Scholar
Modlin, B., Ogura, J. H. (1969) Postlargyngectomy tracheal stomal recurrences. Laryngoscope 79: 239–250Google Scholar
Molinari, R., Bucco, B. (1967) Importanza della tracheotomia preventiva a lunga permanenza quale fattore determinante l'inosorgenza di recidive al tracheostoma in laringectomizatti per carcinoma. Tumori 53: 575–580CrossRefGoogle ScholarPubMed
Myers, E. M., Ogura, J. H. (1979) Stomal recurrence. A clinicopathological analysis and protocol for future management. Laryngoscope 89: 1121–1128Google ScholarPubMed
Norris, C. M. (1959) Causes of failure in surgical treatment of malignant tumors of the larynx. Annals of Otology 68: 487–508Google Scholar
Schneider, R. J., Lindberger, R. D., Jesse, R. H. (1975) Prevention of tracheal stoma recurrences after total laryngectomy by postoperative radiation. Journal of Surgical Oncology 7: 187–190CrossRefGoogle Scholar
Stell, P. M., Van der Broek, P. (1971) Stomal recurrence after laryngectomy: aetiology and management. Journal of Laryngology and Otology 85: 131–140Google Scholar
Weissman, R. A., Colman, M, Ward, P. H. (1979). Stomal recurrence following laryngectomy. A critical evaluation. Annals of Otology 88: 855–860Google Scholar
Wickham, M. H., Narula, A. A., Barton, R. P., Bradley, P. J. (1990) Emergency laryngectomy. Clinical Otolaryngology 15: 35–38CrossRefGoogle ScholarPubMed