Zhonghua er bi yan hou ke za zhi · 1998
[The extended indications of near-total laryngectomy].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Tang P, Tu G, Qi Y
Аннотация
OBJECTIVE: To evaluate near-total laryngectomy in treatment of laryngeal cancers.
METHODS: Fifty-seven near-total laryngectomies were reviewed, among them 40 were T3 or T4 laryngeal cancers due to tumor invasion to the base of tongue or subglottic region.
RESULTS: In these patients, there were 11 cases of T3 pyriform sinus cancers, 5 cervical esophageal cancers, 1 case with adenoid cystic carcinoma involving the base of the tongue and oropharynx. Speech function had been preserved in 93% of cases with normal swallowing. Three year survival rates were 67.5% in laryngeal cancer and 50% in hypopharyngeal cancer. Local recurrence rate was only 3.5%.
CONCLUSION: The authors believed that near-total laryngectomy is safe and beneficial to the patients with the above types of cancers. The quality of life may improve if speech function is preserved.
METHODS: Fifty-seven near-total laryngectomies were reviewed, among them 40 were T3 or T4 laryngeal cancers due to tumor invasion to the base of tongue or subglottic region.
RESULTS: In these patients, there were 11 cases of T3 pyriform sinus cancers, 5 cervical esophageal cancers, 1 case with adenoid cystic carcinoma involving the base of the tongue and oropharynx. Speech function had been preserved in 93% of cases with normal swallowing. Three year survival rates were 67.5% in laryngeal cancer and 50% in hypopharyngeal cancer. Local recurrence rate was only 3.5%.
CONCLUSION: The authors believed that near-total laryngectomy is safe and beneficial to the patients with the above types of cancers. The quality of life may improve if speech function is preserved.