Stomal Recurrence after Total Laryngectomy for Squamous Cell Carcinoma of the Larynx

Abstract

Intensive follow-up should be performed for patients with glottic carcinoma who had preoperative tracheotomy, paratracheal lymph node metastasis, or both to detect stomal recurrence at an early stage.

Post-laryngectomy stomal cancer recurrences, re-treatment decisions and outcomes: Case series

“…In other respects, a nihilistic management attitude may not be warranted because of the likely progression of SCRs to tracheostomal obstruction or massive haemorrhage from erosion of adjacent major vascular structures if left untreated. Such individuals should be offered the full spectrum of treatment options because occasional long-term survivors have been observed after retreatment by operative and non-operative means (Sisson et al, 1975;Balm et al, 1986;Gluckman et al, 1987;Imauchi et al, 2002). We believe that chemoradiation or re-irradiation employing IMRT is a worthy treatment alternative when definitive surgery is not preferred or performed.…”

Recorrência na área do traqueostoma após laringectomia total

“…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 .…”

Delphian node metastasis in head and neck cancers—Oracle or myth?

“…Most patients have been previously irradiated, making re‐irradiation problematic. Surgery is only effective if stomal recurrence is diagnosed early 26. If is advanced, it may be impossible to adequately resect or reconstruct, leaving patients with only palliative options.…”