Presentation tl audit
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This document summarizes an audit of 78 total laryngectomy procedures performed between 2007 and 2012 at AIIMS ENT department in India. The majority of patients were males between 40-60 years old with a history of smoking and alcohol addiction. Most common tumor site was supraglottis and majority of cases were locally advanced cT3/T4 tumors. Post-operative complications occurred in 15 cases, most commonly neck hematoma and pharyngocutaneous fistula. During follow up of 26 patients, 13 had no evidence of disease while 8 experienced recurrence.
Presentation tl audit
- 1. DONE BY DR MADAN GUPTA DR LOKESH UNDER GUIDENCE OF DR C AMIT SINGH DR VISHAV DR RUCHIKA AUDIT :TOTAL LARYNGECTOMY
- 2. MATERIAL & METHOD  Study design-retrospective  Centre –AIIMS ENTdeptt.  Duration-2007jan-2012may  Sample size-78  Partial laryngectomies excluded
- 6. CO -MORBIDITY 5 4 2 4 63 0 10 20 30 40 50 60 70 HTN DM DM+HTN TB NONE
- 8. cTNM STAGING( N=75 ) 0 5 10 15 20 25 30 T3N0MO T3N+MO T4NOMO T4N+MO SALVAGE 16 6 28 15 10
- 9. PRE OP HISTOPATHOLOGY 76 1 1 1 SCC MEC sarcomatoid ca
- 11. NECK DISECTION (N=68) 0 5 10 15 20 25 30 35 40 45 AJC MND RND AJC+MND AJC+RND 41 5 12 4 6
- 12. THYROIDECTOMY 0 10 20 30 40 50 60 HT TT NTL ST 59 13 4 2
- 15. COMPLICATION 15/78 7 4 3 1 NECK HEMATOMA FISTULA STOMAL STENOSIS NEOOPHYRYNX STENOSIS