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Laryngectomy

Laryngectomies


Presentation

  • We present the case of a not-yet-reported complication that occurred during the immediate postoperative period after supracricoid partial laryngectomy.[ncbi.nlm.nih.gov]
Sepsis
  • After multivariate regression, sepsis and overall medical complications remained significant for the 51 pack-year smoking cohort.[ncbi.nlm.nih.gov]
Gangrene
  • Necrotizing fasciitis (NF) is an unusual, life threatening, rapidly advancing infection characterized by widespread fascial and subcutaneous tissue necrosis and gangrene of the skin.[ncbi.nlm.nih.gov]
Thyroid Nodule
  • Pros and cons of total thyroidectomy for indeterminate thyroid nodules should be discussed with this patient population.[ncbi.nlm.nih.gov]
Hyposmia
  • RESULTS: Hyposmia was reported by all laryngectomees and hypogeusia by 54% of patients.[ncbi.nlm.nih.gov]
  • Hoye RCKetcham ASHenkin RI Hyposmia after paranasal sinus exenteration or laryngectomy. Am J Surg. 1970;120485- 491 Google Scholar Crossref 9. Moore-Gillon V The nose after laryngectomy.[doi.org]
Oral Bleeding
  • Thirty-five days after surgery, he was admitted to our emergency room for fever and massive oral bleeding during meals.[ncbi.nlm.nih.gov]
Osteophyte
  • This complication was caused by C3-4 cervical osteophytes physically contacting the cricoid cartilage.[ncbi.nlm.nih.gov]
Dystonia
  • A double blind, randomised, parallel group study to investigate the dose equivalence of Dysport and Botox in the treatment of cervical dystonia.[doi.org]
Gustatory Sweating
  • Treatment of gustatory sweating (Frey's syndrome) with botulinum toxin A. Head Neck 2003 ; 25 : 624 –8 14 Hoffman, HT, Fischer, H, VanDenmark, D, Peterson, KL, McCulloch, TM, Karnell, LH et al.[doi.org]
Sleep Disturbance
  • The patient also suffered impairment in physiological functioning and sleep disturbance after surgery. Postoperative delirium. The postoperative delirium was treated with an antipsychotic drug. The patient recovered well.[ncbi.nlm.nih.gov]

Treatment

  • OBJECTIVE/HYPOTHESIS: There are limited treatment options beyond surgical salvage for patients who fail nonoperative treatment for laryngeal squamous cell carcinoma.[ncbi.nlm.nih.gov]
  • Free lodging near treatment. A 24/7/365 live helpline. Rides to treatment. This is far from a complete list, but it makes one thing clear. When it comes to cancer, we are the only organization attacking from every angle.[cancer.org]

Prognosis

  • A positive Delphian node is known to predict a poor prognosis in laryngeal cancer. To elucidate the clinical significance of positive Delphian node metastasis in supracricoid laryngectomized patients, we conducted a thorough clinical review.[ncbi.nlm.nih.gov]
  • Histologically positive neck was highly significantly associated with worse prognosis, much more than recurrence within larynx.[omicsonline.org]
  • Long term survival The prognosis of head and neck squamous cell carcinoma depends on the cancer’s stage at diagnosis and its location.[dribrook.blogspot.com]
  • The dismal prognosis of stomal recurrence suggest that the management of this lethal complication should focus on prevention.[jpma.org.pk]

Etiology

  • With the help of a case report, this article highlights the etiology and management of large post-laryngectomy pharyngocutaneous fistulae.[ncbi.nlm.nih.gov]
  • .; “ Lung volume effects on pharyngeal swallowing etiology” J Appl Physiol 95:2211-2217, 2003. 5.[stimmprothese.com]
  • Etiology Alcohol and tobacco have synergistic carcinogenic properties, which directly contribute to most causes of laryngeal cancer. Most laryngeal cancers have a squamous cell histopathology.[emedicine.medscape.com]

Epidemiology

  • We only included observational epidemiological studies and used risk ratios (RRs) and 95% confidence intervals (CI) to summarize the primary risk factors associated with recurrence following laryngectomy.[ncbi.nlm.nih.gov]
  • Epidemiology of head and neck cancer in the United States. Otolaryngol Head Neck Surg. 2006 ;135: 451 - 457. Google Scholar SAGE Journals ISI 5. HCUP databases. Health Care Cost and Utilization Project (HCUP): 1997–2008.[doi.org]
  • The Surveillance, Epidemiology and End Results (SEER) program of the National Cancer Institute (Ries et al., 2000) reports that laryngeal cancer rates rise sharply in the fifth, sixth, and first half of the seventh decades of life (Casper and Col-ton,[flandershealth.us]
  • Epidemiology Frequency Laryngeal cancer is the second most common site for head and neck malignancy. In the United States, 11,000 new cases are reported annually.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • The pathophysiology of this severe complication, as well as its diagnosis, management, and prevention, is discussed, together with a review of the medical scientific literature.[ncbi.nlm.nih.gov]
  • Pathophysiology Laryngeal cancer commences at the cellular level with mutations in the DNA, either from genetic or environmental factors.[emedicine.medscape.com]

Prevention

  • This method too failed to reliably prevent aspiration ( 66, 67 ).[doi.org]
  • Aspiration through an oesophagotracheal shunt in swallowing was prevented by the ileocaecal valve on the patch.[ncbi.nlm.nih.gov]

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