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.
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http://dx.doi.org/10.31128/AJGP-10-18-4723 | DOI Listing |
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 PDFHead Neck
October 2024
Department of Otolaryngology-Head & Neck Surgery, Stanford University, Stanford, California, USA.
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 PDFAuris Nasus Larynx
December 2024
Department of Plastic and Reconstructive Surgery, Kyushu University Hospital, Fukuoka, Japan.
Ann Card Anaesth
October 2024
Department of Anesthesiology, St Joseph's Medical Center, 1800 N California Street, Stockton, CA, USA.
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