Abstract
Three patients with stomal recurrence after laryngectomy were treated in Yamada Red Cross Hospital. Every case had been diagnosed as glottic laryngeal cancer, and underwent total laryngectomy following radiotherapy. Of these patients, one was given a reduction operation, which was followed with postoperative radiotherapy for residual mediastinal tumor. This patient is still alive for 2 year and 6 months without recurrence. One patient was conducted salvage operation for stomal recurrence, and reconstructed of the trachea with DP-flap. This patient is still alive for more than 5 months without recurrence. Stomal recurrence after laryngectomy is still miserable, and salvage operation has a tendency to be avoided. But occasionally, aggressive operation can relief from miserable prognosis. For the prevention of stomal recurrence, neck dissection of bilateral anterior compartment is necessary for patients with laryngeal cancer who undergo laryngectomy.
