Stomal Recurrence 1
Stomal Recurrence 1
Fig.1 Classification of stomal recurrence.
Fig.2 Three years after laryngectomy and radiotherapy, patient has developed recurrence at the stomal site (yellow arrow).
Fig.3 Incision as marked.
Fig.4 Skin flaps were raised exposing clavicle and pectoralis major muscle.
Fig.5 Manubrium sternum and medial end of clavicle were resected.
Fig.6 Superior mediastinal dissection done.
Fig.7 Trachea is divided in the superior mediastinum well below the tumour (yellow arrow). Oesophagus (green arrow) is dissected off the trachea and the surrounding structures.
Fig.8 Specimen containing trachea, pharynx, entire oesophagus, bilateral neck & superior mediastinal dissection.
Fig.9 Picture shows the vascular structures in the superior mediastinum and neck. Stomach is brought into the neck through the superior mediastinum.
Fig.10 Pectoralis major muscle (white arrow) is rotated into the neck to create a tracheostoma in the superior mediastinum as well as to protect the major blood vessels. Split skin graft is applied over this muscle.
Fig.11 Picture shows well healed wound and the mediastinal tracheostoma.
The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)
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The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)