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

Background: The aim of this work is to study the impact of tracheostomy on peristomal recurrence in patients undergoing primary laryngectomy. Methods:???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? 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 ???????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? 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


Auteur(s) : C Ndiaye, H Ahmed, EJR Palou, E S Diom, S Maiga, MW Barry, N Pilor, A Mbaye, N Ndour and IC Ndiaye
Pages : 86-88
Année de publication : 2019
Revue : Scholarly Journal of Otolaryngology
N° de volume : 4
Type : Article
Mise en ligne par : NDIAYE Ciré