Clinical Risk Factors of Stomal Recurrence in Patients
Requiring Emergency Tracheostomy for Advanced
Laryngeal Cancer
Volume 1 - Issue 4
C Ndiaye1*, H Ahmed1, EJR Palou2, E S Diom1, S Maiga1, MW Barry2, N Pilor1, A Mbaye1, N Ndour1 and IC Ndiaye1
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- 1 ENT Department in FANN Teaching Hospital, Dakar, Senegal
- 2 ENT Department in Diamnadio’s Children Hospital, Dakar, Senegal
*Corresponding author:
Gary Nishioka, Willamette Ear Nose and Throat & Facial Plastic Surgery, Oregon, USA
Received: February 04, 2019; Published: February 12, 2019
DOI: 10.32474/SJO.2019.01.000119
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Abstract
Background: The aim of this work is to study the impact of tracheostomy on peristomal recurrence in patients undergoing
primary laryngectomy.
Methods: This was a retrospective study from January 1, 2009 to December 31, 2013. All patients with laryngeal cancer classified
T3 or T4 were included. The patients were divided into 2 groups. One group was formed by patients underwent tracheostomy then
primary laryngectomy, the « T+LT » group. Second group was constituted by patients underwent primary laryngectomy « LT only ».
The tracheostomy, the subglottic extension, the resection margins and the tumor stage were studied. The exact Fisher test was used
to compare the variables. A value of p < 0.05 was significant.
Results: Ninety four patients were enrolled in this study. The «T + LT» group represented 61.7% (n = 58) and the «LT only»
group 38.3% (n = 36). Peristomal recurrences represented 25% of recurrences. Patients in both groups did not differ by age (p =
0.53), sex (p = 1), tumor stage (p = 0.8) and lymph node extension (p = 0.87). The tracheostomy (p = 0.73), the advanced stage (p =
0.15), the pathological resection margins (0.68) and the subglottic extension (0.35) were not associated with recurrence peristomal.
Conclusion: Tracheostomy is not a risk factor for peristomal recurrence after primary laryngectomy. In the unavailability of a
laser, the ENT surgeon is able to perform a tracheostomy without compromise the patient’s prognosis.
Keywords: Laryngectomy; Peristomal Recurrence; Laryngeal Cancer
Keywords: Laryngectomy; Peristomal Recurrence; Laryngeal Cancer
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