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January 1993

Head and Neck Cancer

Author Affiliations

Pittsburgh, Pa

Arch Otolaryngol Head Neck Surg. 1993;119(1):121. doi:10.1001/archotol.1993.01880130123020

To the Editor.—We found the article by Ramadan and Wetmore1 interesting since it does not agree with our findings. In their article, they observed that a postoperative wound infection was a favorable prognostic factor for patients undergoing oncologic surgery of the larynx. However, there is insufficient data in their article to arrive at this conclusion. It is not clear if the patients with postoperative wound infections were comparable with the patients without postoperative wound infection. Although there were no obvious differences in overall tumor stage, there is no breakdown of patients based on T stage and N stage. There is also no mention of the treatment of the necks, whether by surgery and/or radiation therapy, and pathologic findings such as the presence of surgical metastases, number of involved nodes, and extracapsular spread. Since all of these factors may have a bearing on prognosis, it is possible that the

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