Back to Search Start Over

[Surgical management of stomal recurrence].

Authors :
Pan X
Zhang L
Xu F
Liu D
Lei D
Xie G
Luan X
Source :
Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology [Lin Chuang Er Bi Yan Hou Ke Za Zhi] 2003 Sep; Vol. 17 (9), pp. 524-6.
Publication Year :
2003

Abstract

Objective: To study effective treatment of stomal recurrence.<br />Method: Thirty-one patients with stomal recurrence underwent surgical management. Twelve of them considered to have the probability of metastasis to regional lymphnodes underwent modified radical neck dissection. Twenty-five cases(I and II type) received complete tumor excision, but for III and IV type, only 50% (3/6) of the patients gained complete tumor excision. The surgical defects were repaired by pectoralis major myocutaneous flap in all the patients.<br />Result: In 13 cases of type I, 7 cases had followed up for 3 years, 4 cases died, while in 12 cases of type II, 8 cases had followed up for 3 years, 5 cases died. Survival remains poor for III or IV type. Most of them died within 3 years after operation. The complication rate of pharyngeal fistula and pneumatothorax was 12.9% and 9.7%, respectively.<br />Conclusion: The overall prognosis of stomal recurrence is dismal. A proper surgical treatment in some cases will prolong the lifetime and improve their quality of life.

Details

Language :
Chinese
Volume :
17
Issue :
9
Database :
MEDLINE
Journal :
Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology
Publication Type :
Academic Journal
Accession number :
14658183