ABSTRACT
Background : Conservation laryngectomy is an alternative for organ preservation treatment of early laryngeal cancer beside radiotherapy with a comparable oncological result. However, result of this treatment option in Srinagarind Hospital has never been reported.Objective : To study the result of conservation laryngec tomy in both oncologic and functional aspectDesign : Retrospective, descriptive studySetting : Patients who diagnosed as laryngeal cancer and underwent conservation laryngectomyIntervention : Conservation larygectomyMeasurements : Recurrent rate or cure rate and laryngeal function (deglutition without aspiration, respiration and phonation)Results : There are 9 cases in 10 year period underwent vertical hemilaryngectomy, supraglottic laryngectomy and supracricoid laryngectomy 3 cases each. There is only one case who underwent supraglottic laryngectomy had recurrence at primary site and one case of stage III cancer and underwent supracricoid laryngectomy had recurrence at primary site and one case of stage III cancer and underwent supracricoid laryngectomy died from lung metastasis. All cases can be preserved all functions of larynx including deglutition without aspiration, normal nasal breathing without tracheotomy tuge and communicable voice.Conclusions : Conservation laryngectomy is a considerable option for laryngeal preservation in treatment of laryngeal cancer beside radiotherapy.
ABSTRACT
Background : laryngeal cancer is the common cancer in ENT practice. According to tumor registry of Srinagarind Hospital, it is the third most common cancer of upper G-I \& Respiratory tract cancer being after oral and nasopharyngeal cancer. Additionally it had never been reported in Srinagarind Hospital.Objective : Study about character of laryngeal cancer and its treatmentDesign : Retrospective, descriptive studySetting : Srinagarind Hospital, Khon Kaen University Subject : Patients whose diagnosed as squamous cell carcinoma of the larynx and were treated in srinagarind Hospital since 1993-1997.Results : There were 59 cases included in this study. Fifty-eight cases were male and average age was 63 years old. The most common type was supraglottic cancer (44%) following by glottic cancer (31%) and most cases 76%) were advanced cases, most (55%) were treated by surgery with postoperative radiation following by primary radiation (32%). Three of nine cases whom received neck dissection have positive malignancy in neck node specimen.Summary : Most of laryngeal cancers were advanced stage that need a combined treatment (surgery with postoperative radiation) as the most common treatment option.