PROMOTING ACCESS TO AFRICAN RESEARCH

Orient Journal of Medicine

The AJOL site is currently undergoing a major upgrade, and there will temporarily be some restrictions to the available functionality.
-- Users will not be able to register or log in during this period.
-- Full text (PDF) downloads of Open Access journal articles will be available as always.
-- Full text (PDF) downloads of subscription based journal articles will NOT be available
We apologise for any inconvenience caused. Please check back soon, as we will revert to usual policy as soon as possible.





DOWNLOAD FULL TEXT Open Access  DOWNLOAD FULL TEXT Subscription or Fee Access

Clinical profile of post-operative complications of total laryngectomy for laryngeal carcinoma: a 12-year observation in Sokoto, Nigeria

Daniel Aliyu, Kufre Riseh

Abstract


Background: Laryngeal carcinoma is the most common malignancy of the head and neck.

Objective: To determine the pattern of post-operative complications following total laryngectomy and to highlight the predisposing factors in our centre.

Methodology: This was a retrospective chart review of 30 patients who consented to total laryngectomy following histologically confirmed laryngeal carcinoma from December 2000 to December 2012.

Results: In the 12years under review, 30 (58.8%) patients consented to total laryngectomy. Twenty-three (76.7%) were males, while 7 (23.3%) were females, with a male: female ratio of 3.3:1. The age range was 20–75years, with a mean age of 50.1years. Post-operative complications were observed in 20 (66.7%) patients. The most common post-operative complications in this study were wound infection and pharyngocutaneous fistula, 4 (20%) cases, each. Others were tracheostomal stenosis 2 (10%), carotid blow out haemorrhage 3 (15%), stomal recurrence 2 (10%), pharyngeal stenosis 3 (15%) and hypocalcaemia 2 (10%). Common organisms isolated from wound swab were the pseudomonas species, which were treated with appropriate antibiotics. Predisposing factors observed in this study were middle age, cigarette smoking, co-existing medical condition, clinical and histologically high-grade cancer.

Conclusion: Meticulous pre-operative planning, good surgical technique and post-operative care will reduce these devastating complications.

Keywords: Cigarette smoking, haemorrhage, otorhinolaryngology, pharyngocutaneous fistula


Full Text:


No subscription journal articles available during site upgrade.



AJOL African Journals Online