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Article
December 1981

Stomal RecurrenceA Critical Analysis of Risk Factors

Author Affiliations

From the Departments of Radiology (Dr Mantravadi) and Otolaryngology (Drs Katz, Skolnik, Becker, and Friedman and Ms Freehling), University of Illinois Hospital and Eye and Ear Infirmary, Chicago.

Arch Otolaryngol. 1981;107(12):735-738. doi:10.1001/archotol.1981.00790480011003
Abstract

• Stomal recurrence developed in 5% of the 507 patients who underwent total laryngectomy for a squamous cell carcinoma. The most common site of the primary tumor was the glottis, followed by the supraglottic and pyriform sinus regions. Initial subglottic extension of the tumor and metastatic lymphadenopathy were the most significant risk factors. The primary tumor size, prior emergency tracheostomy, and conservation surgical procedures had no effect on the incidence of stomal recurrence. The median survival in patients with stomal malignant neoplasms was only five months. In high-risk patients, extended dissection or elective postoperative radiotherapy is recommended.

(Arch Otolaryngol 1981;107:735-738)

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