DONE BY DR MADAN GUPTADR LOKESH

UNDER GUIDENCE OFDR C AMIT SINGHDR VISHAV DR RUCHIKA

AUDIT :TOTAL LARYNGECTOMY

MATERIAL & METHOD

Study design-retrospective

Centre –AIIMS ENTdeptt.

Duration-2007jan-2012may

Sample size-78

Partial laryngectomies excluded

Age

0

10

20

30

40

50

20-4040-60

60-80

9

49

20

SEX

0

10

20

30

40

50

60

70

80

male female

76

2

ADDICTION

38

6 82

91

13

05

10152025303540

CO -MORBIDITY

5 4 2 4

63

0

10

20

30

40

50

60

70

HTN DM DM+HTN TB NONE

site

0

5

10

15

20

25

19

8 10

17

24

cTNM STAGING( N=75 )

0

5

10

15

20

25

30

T3N0MOT3N+MO

T4NOMOT4N+MO

SALVAGE

16

6

28

15

10

PRE OP HISTOPATHOLOGY

76

1 1 1

SCC

MEC

sarcomatoid ca

SURGERY

43

31

4

TL

TL+PP

NTL

NECK DISECTION (N=68)

0

5

10

15

20

25

30

35

40

45

AJC MND RND AJC+MND AJC+RND

41

512

4 6

THYROIDECTOMY

0

10

20

30

40

50

60

HT TT NTL ST

59

134 2

FLAP REPAIR

PMMFDP

GASTRIC P-U

9

2

1

VOICE REHABILITATION

26

52

TEP

ESOPHAGEAL

COMPLICATION 15/78

7

4

3

1

NECK HEMATOMA

FISTULA

STOMAL STENOSIS

NEOOPHYRYNX STENOSIS

Follow up-26/78

0

2

4

6

8

10

12

14

NEDRecurrence

RTDEATH(other

cause)

13

8

3

2