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.

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

3. Age
0
10
20
30
40
50
20-40
40-60
60-80
9
49
20

4. SEX
0
10
20
30
40
50
60
70
80
male female
76
2

5. ADDICTION
38
6 8
2
9
1
13
0
5
10
15
20
25
30
35
40

6. CO -MORBIDITY
5 4 2 4
63
0
10
20
30
40
50
60
70
HTN DM DM+HTN TB NONE

7. site
0
5
10
15
20
25
19
8 10
17
24

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

10. SURGERY
43
31
4
TL
TL+PP
NTL

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

13. FLAP REPAIR
PMMF
DP
GASTRIC P-
U
9
2
1

14. VOICE REHABILITATION
26
52
TEP
ESOPHAGEAL

15. COMPLICATION 15/78
7
4
3
1
NECK HEMATOMA
FISTULA
STOMAL STENOSIS
NEOOPHYRYNX
STENOSIS

16. Follow up-26/78
0
2
4
6
8
10
12
14
NED
Recurrence
RT
DEATH(other
cause)
13
8
3
2