Adnan, Mahmood Alam, Akif Rafi, Ali Inam Khan, Saffaf Habib, Gul Naeem.
Complications of Laryngectomy.
J Saidu Med Col Nov ;8(2):99-102.

Background: Wound complications after head and neck surgery are associated with increased patient morbidity, inevitably increased health care costs hospitalization, and resource utilization. Multiple risk factors have been implicated in the development of complications including site and extent of surgery, previous radiotherapy (RT), radical neck dissection and flap reconstruction. Objectives. To analyze patients with squamous cell carcinoma (SCC) of the larynx who were treated between 2010 and 2017 at a single institution and to report the incidence of postoperative complications for total laryngectomy (TL). st Materials and Methods: This was a retrospective study carried out on patients of total laryngectomy from 1 January 2010 to December 2017 in ENT A unit Hayatabad Medical complex Peshawar. Total no of17patients were included in this study. Results: In our study 17 patients of squamous cell carcinoma larynx stage lll&lV were included . All were male no female case presented. Age range was from 34 to 72 years. Postoperative complications were recorded for the period of 1 month. 6 patients developed complications. Most common complication was pharyngocutaneous fistula 3 (17%) cases, 2 (11.7%)cases with post operative hematoma and 1 (5.8%)case of wound dehiscence. No mortality occurred in our series. All cases who were operated out side and admitted later in our unit were not included in this study. We recorded complications for period of 1 month. Conclusion: Primary total laryngectomy offers the best survival rate with low complications for advanced laryngeal squamous cell carcinoma. Salvage Total Laryngectomy causes more frequent local complications, especially after chemo radiotherapy.

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