scholarly journals Dislodged Gastrostomy Tube in a Delirious Patient with Advanced Laryngeal Cancer

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
L Mitchell ◽  
P Asimakopoulos ◽  
M Shakeel ◽  
KW Ah-See
Keyword(s):  
Laryngeal Cancer ◽  
Gastrostomy Tube ◽  
Delirious Patient

Factors Predictive of Poor Functional Outcome after Chemoradiation for Advanced Laryngeal Cancer

2002 ◽  
Vol 127 (1) ◽  
pp. 43-47 ◽  
Author(s):  
Jonathan Staton ◽  
K. Thomas Robbins ◽  
Lisa Newman ◽  
Sandeep Samant ◽  
Merry Sebelik ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Functional Outcome ◽  
Vocal Cord ◽  
Laryngeal Cancer ◽  
Organ Preservation ◽  
Tertiary Care ◽  
Feeding Tube ◽  
Gastrostomy Tube ◽  
Poor Functional Outcome ◽  
Laryngeal Function

OBJECTIVE: The study goal was to determine whether pretreatment parameters can be used to predict poor outcomes related to laryngeal function among survivors after organ preservation therapy for advanced laryngeal cancer. DESIGN: A retrospective analysis of patients treated in an ongoing chemoradiation trial. SETTING: Academic tertiary care referral medical center. PATIENTS AND METHODS: Among the 65 patients receiving concomitant intra-arterial cisplatin and radiation therapy for stage III and IV laryngeal cancer between 1993 and 1999, we identified 45 who were available for follow-up and were disease free 6 months after the completion of therapy. A nominal logistic regression analysis was performed to study the effect of age, gender, T and N classification, vocal cord fixation, massive cartilage destruction, and neck dissection on the likelihood of requiring a tracheostomy tube for breathing and/or a gastrostomy tube for feeding at 6 months after the completion of therapy. MAIN OUTCOME MEASURE: Persistent use of gastrostomy tube feedings and/or tracheostomy at 6 months after the completion of therapy. RESULTS: Sixteen patients (36%) required a feeding tube and/or a tracheostomy (tracheostomy 13, gastrostomy 13, both 10). Regression analysis of all pretreatment factors indicated vocal cord fixation as being the strongest predictor of a poor functional outcome (defined as the persistent need for a feeding tube and/or tracheostomy at 6 months after therapy). Among the 27 patients in this subset, 15 (56%) had a poor functional outcome. In contrast, only 1 (6%) of 18 patients without vocal cord fixation had poor laryngeal function. Although the history of pulmonary disease was not a significant parameter by itself, when combined with vocal cord fixation, 6 of 8 patients had a poor functional outcome. CONCLUSION: Pretreatment parameters may be used to predict a poor functional outcome after chemoradiation. Because of the high likelihood of poor function, laryngeal cancer patients seeking organ preservation therapy with chemoradiation should be cautioned if they present with a fixed vocal cord.

The Role of Radiation Therapy in the Treatment of Laryngeal Cancer

1984 ◽  
Vol 17 (1) ◽  
pp. 227-235
Author(s):  
Leslie E. Botnick ◽  
Christopher M. Rose ◽  
Izhak Goldberg ◽  
Abraham Recht
Keyword(s):  
Radiation Therapy ◽  
Laryngeal Cancer

Comparative analysis of the incidence of Oropharyngeal cancer and Laryngeal cancer in the region of south-eastern Poland from 1980 to 2013

2017 ◽  
Vol 15 (1) ◽  
pp. 39-44
Author(s):  
Jan Gawełko ◽  
◽  
Marek Cierpiał-Wolan ◽  
Andrzej Kawecki ◽  
Justyna Podgórska-Bednarz ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Laryngeal Cancer ◽  
Oropharyngeal Cancer ◽  
South Eastern

Laser-radiation Therapy Failures in Stage II Laryngeal Cancer

2000 ◽  
Vol 51 (1) ◽  
pp. 13-16
Author(s):  
Shogo Shinohara ◽  
Etsuo Yamamoto ◽  
Makito Tanabe ◽  
Toshiki Maetani ◽  
Tatsunori Sakamoto ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Laser Radiation ◽  
Laryngeal Cancer ◽  
Stage Ii

Laryngeal Cancer and Smoking

2017 ◽  
Vol 68 (5) ◽  
pp. 327-333
Author(s):  
Takashi Fujii
Keyword(s):  
Laryngeal Cancer
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