Clinical Risk Factors of Stomal Recurrence in Patients Requiring Emergency Tracheostomy for Advanced Laryngeal Cancer

C Ndiaye¹*, H Ahmed¹, EJR Palou², E S Diom¹, S Maiga¹, MW Barry², N Pilor¹, A Mbaye¹, N Ndour¹ and IC Ndiaye¹

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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