Prevention of stomal recurrence

León, Xavier; Quer, Miquel; Burgués, Joaquim; Abelló, Pere; Vega, Manuel de; Andrés, Luis de

doi:10.1002/(sici)1097-0347(199601/02)18:1<54::aid-hed7>3.3.co;2-z

Cited by 15 publications

(28 citation statements)

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“…In the many series, the recurrence incidence in the tracheostoma area varies between 1.7% and 25% 2,3 , and in our study we report an incidence of 10.6%.…”

Section: Discussionsupporting

confidence: 58%

“…Many authors also consent that the time span between the tracheostomy and laryngectomy could increase the risk of tumor implantation, thus making the surgical area prone to recurrences. 2,5,10 . In an attempt to establish a more adequate prognosis for patients with recurrences in the tracheostoma area, Sisson et al 12 described a classification system for recurrences.…”

Section: Discussionmentioning

confidence: 99%

“…Since the 60's, recurrent tumor and trachea resections associated to upper mediastinum clearance have been the only efficient therapeutic approaches to recurrences in the tracheostoma area. Many authors describe that the best approach for recurrences in the tracheostoma area is surgery 2,12,28 . Nonetheless, surgery must be customized for each patient, assessing clinical conditions in order to decide for such a complex procedure, and also consider the possible radical resection of this recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…Nonetheless, there is great difficulty in knowing the real value of such recurrence rates, since many papers include them in the local recurrence group 2,3 . Another significant factor that may cause difficulties in analyzing recurrence incidence in the tracheostoma area is the number of synonyms used to describe such pathology, such as: tracheal metastasis, peritracheal recurrence, tracheal recurrence, paratracheostomal tumor, tracheostomal metastasis, second primary tumor in the trachea 3 .…”

Section: Introductionmentioning

confidence: 99%

“…The different treatment modalities for these recurrences, that include surgery, radio and chemotherapy, have not been satisfactory to control the disease, and therefore, a special attention has been given to the prevention of such pathology 2,[8][9][10] . Many methods have been proposed to prevent recurrence in the tracheostoma area, such as: lower trachea section allowing for a broader surgical margin, dissection of lymphnodes located in the paratracheal chains, emergency laryngectomies in patients that required tracheostomy prior to their laryngectomy, postoperative radiotherapy including the tracheostoma and the upper mediastinum 1,3,7,11 .…”

Section: Introductionmentioning

confidence: 99%

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Recorrência na área do traqueostoma após laringectomia total

Sartini

Fava

Faria

2007

Rev. Bras. Otorrinolaringol.

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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.

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“…In the many series, the recurrence incidence in the tracheostoma area varies between 1.7% and 25% 2,3 , and in our study we report an incidence of 10.6%.…”

Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Recorrência na área do traqueostoma após laringectomia total

Sartini

Fava

Faria

2007

Rev. Bras. Otorrinolaringol.

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Oncologic outcomes of total laryngectomy: Impact of margins and preoperative tracheostomy

et al. 2014

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

et al. 2019

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Introduction Thyroid lobectomy is recommended with total laryngectomy in the National Comprehensive Cancer Network guidelines. However, it is associated with a 32% to 89% risk of hypothyroidism, which is a problem for patients without access to thyroid hormone monitoring and replacement. A number of studies have reported a low incidence of thyroid gland involvement and recommended preserving the thyroid gland in favorable cases. Yet there are no studies that report whether thyroid preserving laryngectomy for laryngeal cancer adversely affects oncologic outcomes compared to patients who have undergone thyroid lobectomy. Objectives To determine whether patients who underwent thyroid gland preserving laryngectomy had higher local recurrence rates or poorer disease‐free survival. Method A retrospective folder review of patients who underwent a total laryngectomy over a 12‐year period was conducted. Local recurrence and disease‐free survival were determined for patients who had both their thyroid lobes preserved and compared with those who had a thyroid lobectomy. Results Sixty‐nine patients had thyroid preserving laryngectomy and 73 patients had a thyroid lobectomy. The duration of follow‐up was 18 to 132 months (median, 30; IQR, 30). There was no significant difference in local recurrence rates (P = .76) or survival curves between the two groups. Conclusion Thyroid preserving laryngectomy in selected patients with advanced laryngeal carcinoma does not increase local recurrence rates, nor does it negatively affect disease‐free survival. Thyroid preservation is appropriate when intraoperative inspection of the larynx shows no extralaryngeal extension or when paratracheal nodal metastases are not a concern. Level of Evidence Level 4 Laryngoscope, 130:1465–1469, 2020

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Prevention of stomal recurrence

Cited by 15 publications

References 0 publications

Recorrência na área do traqueostoma após laringectomia total

Recorrência na área do traqueostoma após laringectomia total

Oncologic outcomes of total laryngectomy: Impact of margins and preoperative tracheostomy

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

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