STUDY OF POSTLARYNGECTOMY STOMAL RECURRENCE.
STUDY OF POSTLARYNGECTOMY STOMAL RECURRENCE.
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喉切除术后造口复发的研究。
DOI：
10.1001/archotol.1965.00750050190014
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发表时间：
1965
期刊：
影响因子：
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通讯作者：
H. Rosin
中科院分区：
文献类型：
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作者：
W. Keim;M. Shapiro;H. Rosin
造口周围复发的幽灵笼罩着喉切除术后的病人，这是可能发生的最隐蔽和最致命的并发症之一。即使对于熟练和仔细的观察者来说，检测也往往很困难，并且最积极的治疗也很少存活。我们在这篇文章的目的是分析我们的经验与复发的造口周围地区，以确定某些因素的意义，其病因，并提出可能的预防措施。我们可以将喉切除术后造口周围复发定义为肿瘤组织在切断的气管和皮肤交界处的弥漫性浸润。它可能局限于造口的一侧，慢慢地使紧邻的气管壁隆起，或者它可能包围造口，导致几乎难以察觉的孔径逐渐收缩，出现在六周到两周内的任何时间。喉切除术后的几年或更长时间。偶尔复发
THE SPECTER of peristomal recurrence hangs over the laryngectomized patient as one of the most insidious and lethal complications which can occur. Detection is often difficult even for the skilled and careful observer, and survival with the most aggressive treatment is rare. Our purpose in this paper is to analyze our experience with recurrence in the peristomal region, to define certain factors of significance in its etiology, and to suggest possible preventive measures. We may define postlaryngectomy peristomal recurrence as a diffuse infiltrate of neoplastic tissue at the junction of the amputated trachea and the skin. It may be localized to one side of the stoma, slowly producing a bulge of the immediately adjacent tracheal wall, or it may encircle the stoma, causing a gradual constriction of the aperture that is almost imperceptible, appearing at any time from six weeks to two or more years following laryngectomy. Occasionally the recurrence