Archives of otolaryngology--head & neck surgery · 1997
Management of bilateral glottic tumors.
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Reino A J, Lee H Y, Lawson W, Schaefer-Mojica J, Biller H F
Аннотация
OBJECTIVE: To compare the rates of cure and complication and the time to decannulation and deglutition in patients undergoing resection of bilateral glottic tumors.
DESIGN: A 22-year, nonrandomized, prospective, retrospective analysis.
SETTING: Two academic tertiary care referral centers.
PARTICIPANTS: Seventy-two patients with bilateral glottic carcinoma were treated using bilateral hemilaryngectomy. Depending on the size of the tumor and the extent of thyroid cartilage resection, patients underwent 1 of 3 methods of reconstruction: group 1, placement of an anterior commissure stent (34 patients); group 2, epiglottic laryngoplasty (15 patients); and group 3, staged posterior thyroid alar transposition laryngoplasty (23 patients).
INTERVENTION: Resection and reconstruction of 72 larynges with bilateral glottic tumors using the bilateral hemilaryngectomy procedures.
MAIN OUTCOME MEASURES: Acceptable rates of cure and complication, intervals to decannulation and deglutition, and quality of speech.
RESULTS: High rates of tumor control and cure, low rates of recurrence and complication, acceptable time to decannulation and deglutition, and adequate quality and intelligibility of speech.
CONCLUSIONS: Bilateral vocal cord carcinoma can be treated surgically with a high degree of tumor control and cure. The use of all 3 methods maintained laryngeal function with regard to tracheal decannulation, oral alimentation, and speech intelligibility.
DESIGN: A 22-year, nonrandomized, prospective, retrospective analysis.
SETTING: Two academic tertiary care referral centers.
PARTICIPANTS: Seventy-two patients with bilateral glottic carcinoma were treated using bilateral hemilaryngectomy. Depending on the size of the tumor and the extent of thyroid cartilage resection, patients underwent 1 of 3 methods of reconstruction: group 1, placement of an anterior commissure stent (34 patients); group 2, epiglottic laryngoplasty (15 patients); and group 3, staged posterior thyroid alar transposition laryngoplasty (23 patients).
INTERVENTION: Resection and reconstruction of 72 larynges with bilateral glottic tumors using the bilateral hemilaryngectomy procedures.
MAIN OUTCOME MEASURES: Acceptable rates of cure and complication, intervals to decannulation and deglutition, and quality of speech.
RESULTS: High rates of tumor control and cure, low rates of recurrence and complication, acceptable time to decannulation and deglutition, and adequate quality and intelligibility of speech.
CONCLUSIONS: Bilateral vocal cord carcinoma can be treated surgically with a high degree of tumor control and cure. The use of all 3 methods maintained laryngeal function with regard to tracheal decannulation, oral alimentation, and speech intelligibility.