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Video

Head and Neck Surgery

(A601) Postoperative Complications Following Laryngectomy: Social and Environmental Risk Factors

Monday, October 13, 2025
12:00 PM - 1:00 PM EDT
Location: OTO EXPO, Posters

    Presenting Author(s)

  • Spencer G. Shumway, BS

    Medical Student
    University of Oklahoma College of Medicine
    Oklahoma City, Oklahoma, United States

    • Co-Author(s)

  • Carter Patterson, BS

    Student
    University of Oklahoma Health Sciences Center
    Oklahoma City, Oklahoma, United States

    • Co-Author(s)

  • Theodore Klug, MD

    Resident
    University of Oklahoma Health Sciences Center
    Oklahoma City, Oklahoma, United States

  • TG

    Tracy Grammer, CCC, SLP, MS

    Speech Pathologist
    University of Oklahoma Health Sciences Center, United States

    • Senior Author(s)

  • RP

    Rusha J. Patel, MD

    Associate Professor
    University of Oklahoma Health Sciences Center
    Oklahoma City, Oklahoma, United States

Disclosure(s):
Carter Patterson, BS: No relevant relationships to disclose.
Theodore Klug, MD: No relevant relationships to disclose.


Introduction: To determine the social and environmental risk factors for postoperative complications following laryngectomy.

Methods: Retrospective longitudinal study at an academic tertiary medical center, which included a total of 53 patients undergoing total laryngectomy between July 2022 and October 2024, with 35 patients undergoing primary and 18 undergoing salvage laryngectomy.

Results: When stratifying based off of food desert status, or areas where it is difficult to buy affordable or good-quality fresh food, those from a food desert were more likely to develop a surgical site infection (p=0.0397), with an OR of 0.81. However, those same patients were not more likely to develop a post-op hematoma (p=0.165), fistula (p=0.134), or readmission within 30 days (p=0.147). Marital status was also a statistically significant predictor of fistula formation (p=0.0465) and 30-day readmission (p=0.0148), with OR of 2.09 and 1.57, respectively. Primary versus salvage was not found to be a statistically significant predictor of TEP complications, (p=0.579), fistula occurrence (p=0.070), or overall TEP use (p=0.0577).

Conclusions: Socioeconomic factors should be considered as risk factors for post-operative complications among patients undergoing laryngectomy.