WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Ahmed Saad Allah Ahmed, Ghassan Mohammed Ahmed and Ali Ahmad Hasan AL-Sayegh

ABSTRACT

Objective: This is retrospective study of post operative complication following total Laryngectomy for patients attended ENT. Clinic at AL-Jamhory-teaching hospital –Mosul-Iraq for the period from the 1st of June 2003 to the 1st of July 2007. Methods: The study included 36 patients. 29 males and 7 females with ratio of 4:1, The mean age of the patients was 58 years with a range of 40-80years. Patients who had total Laryngectomy for proven carcinoma of larynx (Ca larynx) were included in this study. all patient were reviewed after surgery & followed up for any complication that occurred. the presentation, diagnosis, &management of these complication were reported & discussed. Results: The recorded complications which occur post operatively during follow up of these patients for 4years period were pharyngocutaneous fistula 25% (09), nodal metastasis 25% (09), stoma recurrence 6% (02), hematoma 6% (02), wound infection 8% (03), difficulty in swallowing 6% (02), stoma stenosis 3%.[1] Conclusion: Pharyngocutaneous fistula & recurrent nodal metastasis were the most common complication in these patients. Preoperative radiotherapy & low general health postoperatively are important factors in developing pharyngocutaneous fistula. Total laryngectomy performed without neck dissection in lesion with highly lymphatic drainage is important factor in developing recurrent nodal metastasis. The location of the tumor is the most important risk factor in development of stomal recurrence. The poor initial tumor differentiation & transglottic tumor localization are the major causes of the nodal metastasis.