Stomal Recurrence Following Laryngectomy

Bonneau, Robert A.; Lehman, Roger H.

doi:10.1001/archotol.1975.00780360008002

Cited by 57 publications

(33 citation statements)

References 13 publications

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“…As far as the neck is concerned, although we have not seen statistically significant difference among patients clinically NO and N1-3 in the genesis of recurrence in the tracheostoma area in our study (p=0.240), we have to stress the importance of paratracheal lymphnodes in larynx cancer reported by other authors, especially when the tumor involves the infraglottic region 4,6,13,23 . Lymphnode metastasis in head and neck tumors is the most important prognostic factor related to patient survival, especially when the primary tumor is located in the larynx, hypopharynx or upper esophagus.…”

Section: Discussioncontrasting

confidence: 75%

“…In larynx cancer, infraglottic involvement remains as the major risk factor for recurrences in the tracheostoma area 1,6,14,18 . Many authors believe that these tumors have a tendency towards fast paratracheal tissue involvement, because of its submucosal expansion.…”

Section: Discussionmentioning

confidence: 99%

“…Prior tracheostomy in these patients, necessary to establish a new airway has been identified as an important risk factor for recurrences in the tracheostoma area 1,7,19 . This is due to the fact that prior tracheostomy may allow the implantation of viable neoplastic cells from tumor shedding that have an intense inflammatory process and repair granulation tissue -the bed may be prone to cell adhesion.2 In the literature such risk is reported as varying between 8 and 41% 1,6 . 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.…”

Section: Discussionmentioning

confidence: 99%

“…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 . Most relapses in the tracheostoma area are diagnosed in the first year after total laryngectomy and its pathogeny is still not clearly defined 1,[4][5][6][7] . Tumor site and disease staging, infraglottic invasion, previous tracheostomy, insufficient surgical margins after total laryngectomy, thyroid invasion by the laryngeal tumor, tumoral implants during surgery and paratracheal lymphnode metastasis are the most mentioned correlated factors in the literature .…”

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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Section: Discussioncontrasting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

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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“…Later this definition was modified [2] to include areas adjacent to the stoma, with the recurrence taking the form of granulations, ulceration, plaques, soft tissue mass, or infiltration around the stoma [ 3 ] . Although the morphology is well described, the definition concerning the site is not, "around the stoma" having no definite limits; and indeed, if a SR is large enough, direct extension posterolaterally into the neck will occur.…”

Section: Introductionmentioning

confidence: 99%

Stomal recurrence: A separate entity?

Barr

Robertson

Liu

1990

Journal of Surgical Oncology

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Uncertainty exists concerning the exact aetiology of stomal recurrence following laryngectomy, although it is generally agreed that, when present, the prognosis is very poor. Fourteen cases of stomal recurrence were compared with 15 cases of other types of aggressive recurrence in the neck, for factors implicated in stomal recurrence. Similarities exist between the two groups and, although stomal recurrence has a greater association with subglottic tumour, this difference is not statistically significant. The possible mechanisms of recurrence are discussed, particularly in relation to aggressiveness, and it is concluded that factors involved in aggressive recurrences are similar. Stomal recurrence can be considered part of a group of aggressive neck recurrences associated with more advanced disease prior to laryngectomy.

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