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81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

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Complications of laryngeal surgery

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  • corresponding author Ion Rodica - clinical hospital of emergency constanta, Constanta, Romania
  • Gheorghe Ionel Comsa - clinical hospital of emergency constanta, Constanta, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hnod207

doi: 10.3205/10hnod207, urn:nbn:de:0183-10hnod2073

Published: April 22, 2010

© 2010 Rodica et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: Surgical treatment offer chance to cure laryngeal cancer but unfortunately different complications may occur.

Materials and methods: This paperwork is a retrospective study, of 1998–2008 period includes 509 patients with laryngeal cancer hospitalized in Constanta ENT Clinic.

A number of 344 patients received surgical treatment. Some patients suffered complications. Parameters of the study covered analysis of complications related to surgical treatment.

Results and discussion: From total of the 344 surgeries, 252 were total laringectomy, 90 partial laringectomy and 70 cases received reconstructive laringectomy.

There were counted a total of 121 intraoperative complications, postoperative early and late, and adverse effects of postoperative irradiation(radiodermitis and skin radionecrosis).

It was registered intraoperative and early or late postoperative complications related to tracheostomy or laryngectomy as: bleeding; damages the thyroid gland; subcutaneous emphysema; seroma and postoperative hematoma; suppurative wound; necrosis of peristomal soft tissues; impossible decannulation.

Conclusions: Complications of laryngeal surgery may be intraoperative, early or late postoperative.

They may be related to tracheotomy act, or laryngectomy itself.

Treatment complications include hygiene and dietary measures, training and improving swallowing in the postoperative period, strict aseptic and antisepsis measures, and improuving of surgical techniques.