Review Note
Last Update: 02/18/2024 05:30 AM
Current Deck: Part 2::6. High Yield Questions::Head and neck
PublishedCurrently Published Content
Front
List the factors which increase the risk of stomal
recurrence in patients receiving post-operative radiotherapy after total
laryngectomy for laryngeal cancer. (3 marks)
Back
Patient:
- Age
- Smoking
- Use of radiation sensitising medications eg
methotrexate
- Co-morbidities that affect healing eg type 2
diabetes
- Radiation sensitising conditions eg ataxia
talengiectasia, connective tissue disease, nejmegen breakage syndrome
Tumour:
- Tumour location:
subglottic (most common) > glottis > supraglottic
- Tumour
differentiation: poorly differentiated > well/moderately
differentiated
- T stage: higher
(particularly T3/T4) > lower
- N stage: positive
> negative
- Pharyngoperistomal
fistula: present > absent
Treatment:
- Preoperative tracheostomy
- Surgical margin:
positive > negative
- Interrupted/increased
OTT for RT
- RT geographical miss
or underdosing
Which risk factors are associated with
stomal recurrence after total laryngectomy for laryngeal cancer? A
meta-analysis of the last 30 years - ScienceDirectFurther information, not for memorising (no card)
Exam
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