bte Abdul Rashid Nur Hashima, Yunus Mohd Razif bin Mohamad, bte Baki Marina Mat, bte Ami Mazita, Athar Primuharsa Putra bin Sabir Husin
Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur.
J Pak Med Assoc. 2012 May;62(5):466-9.
To determine the frequency of stomal recurrence in patients following total laryngectomy in our center and to compare the frequency of previously reported risk factors such as preoperative tracheostomy, subglottic invasion and the level of lymph node metastases, with the rest of the world.
Clinical records of patients with carcinoma of the larynx who presented to Universiti Kebangsaan Malaysia (UKMMC) Otorhinolaryngology and Oncology clinics between January 1998 and December 2007 were reviewed.
A total of all 18 male patients who underwent total laryngectomy for carcinoma of the larynx within this 10 year period. The youngest patient was 49 years old and the eldest was 79 years old with mean age of 63 +/- 8 years. Twelve of them had a tracheostomy prior to surgery. Median duration from tracheostomy to definitive surgery was 28.5 days. Only 1 patient developed stomal recurrence.
The duration from tracheostomy and total laryngectomy was longer than what is accomplished in the developed countries but the frequency of stomal recurrence was still comparable to the rest of the world. The frequency of other previously reported risk factors namely subglottic invasion and lymph nodes metastases were comparably low.
确定我院全喉切除术后患者造口复发的频率，并将术前气管切开术、声门下侵犯和淋巴结转移水平等既往报道的风险因素的频率与世界其他地区进行比较。
回顾了1998年1月至2007年12月期间在马来西亚国民大学（UKMMC）耳鼻喉科和肿瘤科就诊的喉癌患者的临床记录。
在这10年期间，共有18例男性患者因喉癌接受了全喉切除术。最年轻的患者49岁，最年长的患者79岁，平均年龄为63±8岁。其中12例患者在手术前进行了气管切开术。从气管切开术到确定性手术的中位时间为28.5天。只有1例患者发生造口复发。
气管切开术至全喉切除术的时间比发达国家更长，但造口复发的频率仍与世界其他地区相当。其他既往报道的风险因素，即声门下侵犯和淋巴结转移的频率相对较低。
