Recorrência na área do traqueostoma após laringectomia total

Abstract

St oma recurrence after total laryngectomy is one of the most severe developments of squamous cell carcinoma of the larynx. Risk factors most strongly implicated in stoma recurrence have been subglottic invasion by the laryngeal tumor and tracheotomy prior to laryngectomy. Aim: Study the clinical findings of patients who underwent total laryngectomy and evaluate the probable risk factors to the development of stoma recurrence. Study design: Descriptive and retrospective study Materials and methods: We studied data from 47 patients who underwent total laryngectomy for the treatment of laryngeal cancer between 1995 and 2004 and evaluated recurrences and risk factors. Results: Stoma recurrence developed in 10.6 per cent of them(5 cases). There was no significant correlation between stoma recurrence and subglottic invasion or prior tracheotomy. Conclusion: Stoma recurrence still is one of the most lethal developments associated to laryngeal cancer. In the present study it was not possible to identify factors related to this recurrence. Further studies with a larger sample and a longer follow-up period are necessary to better understand this condition.

Does Thyroid Gland Preserving Total Laryngectomy Affect Oncological Control in Laryngeal Carcinoma?

“…The 2‐year peristomal recurrence rates following total laryngectomy reported in the literature are 2.6% to 15% . In our study, local recurrence rates were 6.8% (5/73) in the thyroid sparing group and 8.7% (6/69) in the thyroid lobectomy group ( P = .76).…”

Peristomal Recurrence of Laryngeal Cancer (Literature Review)

“…считают, что формирование ПР после ларингэктомии варьирует от 1,7 до 25,0 % случаев [7], а в опубликованной в 2007 г. статье A. L. Sartini и соавт. [8] сообщается о 10,6 % рецидивов в области трахеостомы у пациентов, перенесших ларингэктомию. Рецидив у пациентов возникает чаще в течение 1-го года после ларингэктомии (в 65,0 % случаев), кроме этого, имеется значительная разница между 1-м и 2-м годом после операции [1].…”

“…К аналогичным выводам пришли A. Goodale и K. Casper [15] и A. L. Sartini и соавт. [8]: в своем анализе они не отметили увеличения риска развития ПР у пациентов с наложенной до лечения трахеостомой.…”

A Inter-Relação entre Qualidade de Vida e Adequação Social em Laringectomizados

“…As pessoas com câncer de laringe em Estágios III e IV submetem-se a um procedimento cirúrgico, geralmente invasivo, para a erradicação do tumor, denominado 'laringectomia total'. Os procedimentos cirúrgicos causam lesões estéticas irrecuperáveis, com significativo comprometimento funcional (Sartini, Fava & Faria, 2007).…”