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Stomal Recurrence Following Laryngectomy
Robert A. Bonneau, MD;
Roger H. Lehman, MD
Arch Otolaryngol. 1975;101(7):408-412.
Abstract
The extent of subglottic involvement and preoperative tracheostomy, appear to be the most important causative factors in peristomal carcinoma. Our case histories have demonstrated tumor foci in a tracheostomy tract and in pretracheal lymphatics.
Once established, the prognosis of the lesion is grave. Radiation and chemotherapy offer only limited palliation, and extensive resection offers the best chance of cure at the present time.
Prophylactic measures such as avoiding a preliminary tracheostomy, meticulous paratracheal dissection, and microscopic control of the resected margins of the surgical specimen may reduce the incidence of peristomal carcinoma.
Author Affiliations
From the Department of Otolaryngology, the Medical College of Wisconsin, Milwaukee, and the Otolaryngology Section, Surgical Service, Veterans Administration Center, Wood (Milwaukee). Dr. Bonneau is currently at the Spokane Ear, Nose and Throat Clinic, Spokane, Wash.
Footnotes
Accepted for publication Sept 20, 1974.
Read before the annual meeting of the Wisconsin Otolaryngological Society, Madison, Wis, Feb 22, 1974.
Reprint requests to the Spokane Ear, Nose and Throat Clinic, PS, Suite 361, West 104 Fifth Ave, Spokane, WA 99204 (Dr. Bonneau).
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