XXXX : experience in Ile-Ife, Nigeria.

@entity1 @entity3747 @entity1375 @entity353 @entity167 @entity19 @entity957 @entity565 @entity189 @entity1955 @entity7374 @entity292 @entity850 @entity7867
OBJECTIVES: This study aimed to determine the prevalent age, pattern of presentation, histopathology type, and outcome of management of @entity189 in our environment. DESIGN AND SETTING: This was a 10-year retrospective study carried out at a teaching hospital. MATERIALS AND METHODS: Records of @entity1 managed for @entity189 from January 1994 to December 2004 were reviewed. Only 13 cases with tissue diagnosis were included in this review. The age, sex, occupation, presentation, use of cigarette and @entity167 , investigations, histology, outcome of management, and duration of follow-up were extracted and analyzed. RESULTS: The @entity1 had a mean age of 69.9 years (range 38-88 years) and a male-to-female ratio of @entity19 . Histopathology was @entity957 in all. Symptoms included @entity7374 in all, cough in 7 (53.8%), @entity353 in 7 (53.8%), and @entity7867 in 6 (46.2%). Two @entity1 indulged in @entity167 and two were also regular cigarette smokers. All the @entity1 presented with stage IV disease and in respiratory distress necessitating emergency tracheostomy. Seven (53.8%) @entity1 had total laryngectomy plus postoperative radiotherapy while 2 (15.4%) had pharyngolaryngectomy, thyroidectomy, radical neck dissection plus postoperative radiotherapy and @entity1955 supplement. Surgical complications included @entity292 in 2 (15.4%) @entity1 , @entity850 , @entity850 , and @entity3747 with @entity1375 in 1 @entity1 each. The fistulae were managed conservatively and prognosis was good despite late presentation. CONCLUSION: @entity189 mainly occurs in males. Presentation is late with @entity7374 in our community. Soft-tissue neck x-ray is a useful diagnostic tool. Scarce radiotherapy centers, ignorance, local taboo, poverty, and poor recognition by primary healthcare providers have a negative impact on its management. @entity189 should be excluded when managing elderly @entity1 for @entity565 .
