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Complications of Total Laryngectomy | ||
| KUFA MEDICAL JOURNAL | ||
| Article 1, Volume 12, Issue 1, 2009, Pages 299-304 | ||
| Authors | ||
| ; Ayad Ahmed Alazzawi MBCHB; | ||
| Abstract | ||
| Aim of study: To find out various complications after total laryngectomy,with refrences to their presentation,diagnosis and management. Design: It was a retrospective descriptive study. Setting: Otolaryngology deprtment,AdDiwanyah teaching hospital,from1st of October 1999 till 31 of December 2007 Patients and methods: 43 patients undergoing total laryngectomy for proven carcinoma of the larynx were included in this study.Patients were reviewed after surgery and any complication that occurred was recorded.The presentation , diagnosis and management of these complication are discussed,along with voice rehabilitation after total laryngectomy. Result: There were 33 male and 10 femal.Age of patient range from 44-66 years. Complication included; pharnygocutaneous fistula(5 patients),cervical lymph node metastasis(4 patients),wound infection(3 patients),myocardial infarction(one patient). Conclusions: Pharnyngocutaneous fistula and cervical nodal metastasis are the most common complications after total laryngectomy.Preoperative radiotherapy, wide resection of the pharynx , early oral feeding are important risk factors for development of pharnygocutaneous fistula in total laryngectomy patients.Postoperative radiotherapy to the neck reduces the risk of nodal metastasis after total laryngectomy. | ||
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