Somal Recurrence

Risk Factors for Stomal recurrence after total laryngectomy [1] [2]

  • subglottic involvement
  • preoperative (emergent) tracheotomy
  • paratracheal lymph node metastasis


  • 1000 cGy in 5 fractions with 0.5 cm bolus
  • dosed to 90% isodose line after 45-50 Gy to neck and SC.
1. Zbaren P, Greiner R, Kengelbacher M. Stoma recurrence after laryngectomy: an analysis of risk factors. Otolaryngol Head Neck Surg. 1996 Apr;114(4):569-75.
2. Imauchi Y, Ito K, Takasago E, Nibu K, Sugasawa M, Ichimura K.
Stomal recurrence after total laryngectomy for squamous cell carcinoma of the larynx. Otolaryngol Head Neck Surg. 2002 Jan;126(1):63-6.
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