[Results of surgical treatment in patients with laryngeal carcinoma after failed radiotherapy].

Fifty-eight patients with laryngeal cancer from ENT Department in Lodz operated because of neoplastic recurrences after radio-therapy or associated therapy (surgery + radio-therapy) were analyzed. Postradiation oedema of the larynx was the most common cause of failure and delay in making diagnosis of neoplastic recurrences after primary treatment. The most common pooperative complication were cutaneous-pharyngeal and cutaneous-oesophageal fistules (24 patients--41%). In 41 patients (70.1%) long healing after operation was observed. In 8 patients (13%) recurrences in oesophagus, in pooperative scar and in stomal region were observed. Five year follow-up was observed in 54% and 3 year follow-up in 39%.