Abstract

ALVAREZ URBAY, María Antonieta; ALVAREZ AMADOR, Héctor; CONEJERO ALVAREZ, Héctor Frank  and  SANTANA ALVAREZ, Jorge. Total laryngectomy. Analysis of the complications. AMC [online]. 2008, vol.12, n.2. ISSN 1025-0255.

Background: Larynx cancer in our province constitutes one of the most frequent causes of admission, so as in the Emergency service, as electively to receive surgical treatment. Objective: To know the post-surgical evolution of the patients with larynx cancer. Method: A retrospective and descriptive study was performed at «Manuel Ascunce Domenech» Surgical Clinical Provincial Hospital of Camagüey city from January 2003 to January 2005. The universe was constituted by a total of 30 patients admitted, to which a total laryngectomy was carried out. Data were obtained of the medical histories taking into account the variables age, sex, antibiotic therapy and complications. Results: Of the total of laryngectomized patients, the 43.33 % presented complications. The group of patients among the ages from 61 to 70 years was the ones that with greater frequency were submitted to surgical treatment, with a 63.33% of the total, male sex with 83.33% dominated. The most frequent complication was the pharyngostoma that represented the 76.92% of the complications, and the 33.33% of the total of the operated, followed by the sepsis of the wound, where the gramgerms prevailed according to the cultures carried out. Conclusions: The complications of larynx cancer are presented with a lot of frequency and it attempted against the good development of these patients.

Keywords : Laryngectomy; laryngeal neoplasms; aged; postoperative complications; epidemiology descriptive; retrospective studies.

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