| Stomal Recurrence after Total Laryngectomy -A Critical Analysis of Etiology and Therapeutic Problems- |
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Jong Ouck Choi;Kwang Yoon Jung;Jae Hoon Oh;Young Hwan Kim;Byong Hoon Kim |
| 후두전적출술 후 기공주변의 재발 |
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최종욱;정광윤;오재훈;김용환;김병훈 |
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| Abstract |
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Stomal recurrence after total laryngectomy presents serious therapeutic problems despite aggressive treatment methods. The purpose of this study is to evaluate the critical analysis of etiology and treatment results and to clarify the treatment plans and prevention of stomal recurrence. Among 159 cases who had undergone total laryngectomy for cancers of larynx(135 cases) and hypopharynx(24 cases) during recent 10 years, stomal recurrence occured in 12 cases(1 case with type I, 2 cases with type II, 2 cases with type III, 3 cases of type IV and unclassified 4 cases according to Sisson's classification) and the retrospective analysis of results were as follows:
1) Average duration of stomal recurrence was 8.2±4.35 months after cessation of primary treatment.
2) The overall incidence of stomal recurrence was 7.6%.
3) The suggested etiology in the pathogenesis of stomal recurrence could be inadequate surgical margin, delayed laryngectomy after initial tracheostomy and improper management of metastatic nodes.
4) Mean survival time was 7.3±5.61 months and one case with type I underwent surgical salvage is still alive out of 7 cases with chemotherapy and radiotherapy and 5 cases with surgical salvage and adjacent therapy.
In summary, aggressive surgical resection should be recommended in cases with high risks of stomal recurrence. |
| Key Words:
Stomal recurrence, Total laryngectomy |
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