الفهرس 
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Abstract
1 - Introduction : Total laryngectomy is a radical procedure that involves removing the entire larynx. This procedure is useful in treating advanced laryngeal cancer and as a salvage measure when previous partial laryngeal surgery or radiotherapy has failed. 2- Purpose of the research: The aim of the work is to study the predictive factors for early complications after total laryngectomy. 3- Research review. Previous radiotherapy, chemotherapy, malnutrition, operation duration, anemia, tobacco use, medical comorbidities, preoperative tracheostomy, neck radical dissection, and flap reconstruction have all been linked to an increased risk of wound complications. 4- Practical part/methods used This study is a prospective study that includes all patients who underwent a total laryngectomy for laryngeal cancer between December 2019 and July 2021. A total of 51 laryngectomy operations were performed during this period. 5- RESULTS: There was a significant association between comorbidity, prior tracheostomy, radiotherapy, chemotherapy, postoperative albumin level and the incidence of complications. 6- DISCUSSION In our study of the 51 patients who underwent total laryngectomy in our department, pharyngocutaneous fistula was the most common complication that we observed, and it developed in 17 patients (33.7%). 7- Conclusion: It is believed that control of comorbidity factors in patients, such as diabetes, anemia, albumin and malnutrition, is one of the most important components in wound healing and prevention of this major complication. 8- Abstract : Increased knowledge of this potentially fatal complication will reduce the use of preoperative tracheostomy and enhance radiation techniques.