Care of laryngectomy stomas in general practice.

Aust J Gen Pract

BSc, MBBS, RACS, Associate Professor, University of Queensland, Qld; Director of Ear, Nose and Throat Surgery, Department of Surgery, Toowoomba Hospital, Qld.

Published: June 2019

Background: Laryngectomy stomas are formed following excision of the larynx, usually for the treatment of an underlying malignancy. This is a permanent stoma in which the trachea is separated from the oesophagus and brought to an opening in the neck. The complication rate of laryngectomy stomas is reported to be more than 60%.

Objective: The purpose of this article is to provide an overview of total laryngectomy stomas and inform general practitioners (GPs) of the frequently encountered complications, to improve stoma-related care and ultimately patient outcomes.

Discussion: Numerous early and late complications can be encountered by a GP, some of which are potentially life-threatening and require prompt recognition. Care of patients who have had a laryngectomy is multi-disciplinary, and GPs are often the first point of contact. The importance of a well-informed GP who can treat the patient and identify when they require referral to a stomal therapy nurse, speech pathologist or surgeon cannot be understated.

Download full-text PDF

Source
http://dx.doi.org/10.31128/AJGP-10-18-4723DOI Listing

Publication Analysis

Top Keywords

laryngectomy stomas
16
care laryngectomy
4
stomas
4
stomas general
4
general practice
4
practice background
4
laryngectomy
4
background laryngectomy
4
stomas formed
4
formed excision
4

Similar Publications

Laryngectomy Margin Assessment: A Little Help From a Template.

Adv Anat Pathol

October 2024

Head and Neck Pathology Consultations, Woodland Hills, CA.

Laryngectomy margin assessment is an important part of patient care and can affect outcomes. There is no standard approach to grossing laryngectomy specimens, with variations in the published guidelines. A uniform approach to margin assessment may be helpful to improve patient care and future research.

View Article and Find Full Text PDF

Objectives: Although total laryngectomy (TL) is a well-established surgical procedure with clear functional or oncologic indications, the peri- and postoperative care for those undergoing TL is variable, particularly regarding postlaryngectomy tracheostoma management. This study examined TL outcomes from a single institution with the immediate perioperative use of soft silicone laryngectomy tubes. More specifically, we explored potential complications associated with immediate perioperative use of a flexible laryngectomy tube (LaryTube and StomaSoft) and the use of heat and moisture exchange (HME) devices in association with peri- and postoperative care.

View Article and Find Full Text PDF
Article Synopsis
  • Peritracheostomal pharyngocutaneous fistula (PCF) is a serious complication after laryngectomy that can lead to severe health issues like pneumonia and requires effective management.
  • This study evaluated a new minimally invasive method combining local skin flap placement with negative-pressure wound therapy (NPWT) to treat and close PCFs.
  • In a retrospective analysis of six patients, NPWT was used for an average of 18.2 days, showing effectiveness in managing the condition and reducing complications.
View Article and Find Full Text PDF
Article Synopsis
  • The case report highlights the challenges anaesthetists face when managing one-lung ventilation in patients with a permanent tracheostomy after laryngectomy.* -
  • It details the successful use of an adjustable Flange Hyperflex™ Tracheostomy tube to achieve lung isolation in a 45-year-old man undergoing bronchial mass excision.* -
  • The report concludes that the Hyperflex™ tube is a viable option for airway management in complicated cases where other methods might fail.*
View Article and Find Full Text PDF
Article Synopsis
  • * A case is presented where a patient with a low-lying stoma underwent coronary artery bypass graft surgery, highlighting the challenges of preventing endobronchial intubation during the procedure.
  • * The report emphasizes the need for innovative techniques in intraoperative settings to effectively manage the airway without interfering with the surgical field, particularly in emergencies.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!