Study of Postlaryngectomy Stomal Recurrence

Stomal recurrence after laryngectomy: aetiology and management

“…The present study also shows that patients who need a tracheotomy any time before a definite procedure do carry a higher risk of later developing a peristomal recurrence. This is also confirmed by other studies (Keim, et al 1965), and where possible a tracheotomy should be avoided or a definite procedure performed at the same time.…”

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

“…Despite our result, that tracheotomy is not associated with peristomal recurrence, we continued to suggest some classics rules of laryngeal oncologic surgery. We argued, like others authors, to place the tracheostomy high and to resect the tracheostomy at time of larygectomy [4].…”

“…Stell identified tracheotomy as a factor in peristomal recurrence [4,7]. In contrast to the two authors cited above, in the same period, Modlin did not showed any relationship between tracheostomy and recurrence [5].…”

Total laryngectomy for cancer of the larynx

“…27 patients underwent tracheostomy prior to treatment. Unlike previous series, there were no significant differences in long-term survival, or stomal recurrence between those patients who had tracheostomies prior to treatment and those patients who did not (Keim et al, 1965;Stell and Van den Brock, 1971). The concept of the necessity of performing an 'emergency laryngectomy' on patients who present with stridor and carcinoma of the larynx may have to be revised.…”