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The treatment of primary recurrence following laryngectomy for laryngeal carcinoma

Published online by Cambridge University Press:  29 June 2007

A. S. Jones ,
M. Ravi  and
P. M. Stell
A. S. Jones*
Affiliation:
Liverpool
M. Ravi
Affiliation:
Liverpool
P. M. Stell
Affiliation:
Liverpool
*
Professor A. S. Jones, Head of Department of Otorhinolaryngology, University of Liverpool, Royal Liverpool Hospital, P.O. Box 147, Liverpool L69 3BX
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Abstract

Of the 397 patients undergoing total laryngectomy for squamous cell carcinoma by Professor P. M. Stell between 1963 and 1991,73 are known to have suffered a local recurrence. Of these, 17 were treated by radiotherapy and/or further surgery. Secondary surgery was reserved for selected cases of peristomal and pharyngeal recurrence: of the 35 peristomal recurrences, eight were treated surgically. Previous reports of recurrence after total laryngectomy have focused on the problem of peristomal recurrence. Patients with pharyngeal recurrences can also be treated satisfactorily with microvascular surgical reconstruction techniques. Though rarely curative, secondary total pharyngectomy can be highly palliative and results in little additional morbidity.

Keywords

Laryngeal neoplasmsLaryngectomyCarcinoma, squamous cell
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 7 , July 1993 , pp. 611 - 613
Copyright
Copyright © JLO (1984) Limited 1993

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