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Stomal recurrence following temporary tracheostomy

Research output: Contribution to journalArticle

W Halfpenny, M McGurk

Original languageEnglish
Pages (from-to)202 - 204
Number of pages3
JournalJournal of Laryngology and Otology
Volume115
Issue number3
Publication statusPublished - 2001

King's Authors

Abstract

The development of a stomal recurrence after temporary tracheostomy for malignant disease of the head and neck is a rare complication, but is a well-recognized phenomenon following total laryngectomy. The risk factors and mechanisms involved are still not :well understood. In a review of 265 patients having a temporary tracheostomy for head and neck malignancy, three (one per cent) developed a stomal recurrence. All recurrences occurred in the group where tracheostomy had been performed pre-resection and of these three patients all had N+ disease. The findings suggest that tumour-cell implantation is an important mechanism of stomal recurrence and that operative technique and tinting of tracheostomy placement is important in reducing the risk of encountering this complication.

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