Abstract
Stomal recurrence after laryngectomy is one of the most serious issues in head and neck surgery, because of the complexity of its management and also because of its morbidity. We describe the case of a 67-year-old man who was admitted with stomal recurrence after laryngectomy treated in Mie University Hospital. The tumor had invaded the trachea with mediastinal extension. Though the stomal recurrence of the patient was type III according to Sisson's disease classification, he was operated on and the trachea was reconstructed with a pectoralis major myocutaneous flap to elongate the shortened trachea and simultaneously cover the cervical skin defect. Furthermore, postoperative radiotherapy was performed without any trouble. Although the prognosis is still poor for stomal recurrence after laryngectomy, aggressive operation with intensive postoperative therapy might improve the poor oncological outcome.
