Postoperative complications and its management after total laryngectomy

  • Kazi Atikuzzaman Enam Medical College & Hospital
  • Khabir Uddin Ahmed Shaheed Suhrawardy Medical College & Hospital, Dhaka
  • Mahmudul Hassan Shaheed Suhrawardy Medical College & Hospital, Dhaka
Keywords: Total laryngectomy, Ca larynx, complications,

Abstract

Objectives: To find out the pattern of complications, frequency, risk factors and the management after total laryngectomy.

Methods: It was a cross sectional study done in the Department of Otolaryngology & Head- Neck Surgery, Shaheed Suhrawardy Medical College Hospital, Dhaka from July 2007 to Dec 2009. 15 patients undergoing total laryngectomy for histologically proven Carcinoma 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 complications were discussed after total laryngectomy.

Results: There were 15 male patients, 3 non radiated cases and 12 post irradiated cases. Age of patients ranged from 35-75 years. Complications included wound infection (04), pharyngocutaneous fistula (03), flap necrosis (01), pharyngeal stenosis (01), stomal stenosis (01) and stomal recurrence (01).

Conclusions: Wound infection and pharyngocutaneous fistula are most common complications after total laryngectomy. Preoperative radiotherapy is an important risk factor for development of pharyngocutaneous fistula in total laryngectomy patients.

DOI: http://dx.doi.org/10.3329/bjo.v19i2.16366

Bangladesh J Otorhinolaryngol 2013; 19(2): 82-86

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Author Biographies

Kazi Atikuzzaman, Enam Medical College & Hospital
Assistant professor, Department of ENT & Head-Neck Surgery
Khabir Uddin Ahmed, Shaheed Suhrawardy Medical College & Hospital, Dhaka
Professor, Department of Otolaryngology & Head-Neck Surgery
Mahmudul Hassan, Shaheed Suhrawardy Medical College & Hospital, Dhaka
Associate Professor, Department of Otolaryngology & Head-Neck Surgery
Published
2014-01-13
How to Cite
Atikuzzaman, K., Ahmed, K., & Hassan, M. (2014). Postoperative complications and its management after total laryngectomy. Bangladesh Journal of Otorhinolaryngology, 19(2), 82-86. https://doi.org/10.3329/bjo.v19i2.16366
Section
Original Articles