Surgical management and preservation of laryngeal function for senile patients with advanced laryngeal carcinoma / 中华肿瘤杂志
Chinese Journal of Oncology
;
(12): 379-381, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-255638
ABSTRACT
<p><b>OBJECTIVE</b>To explore the methods of surgical treatment and preservation of laryngeal function in senile patients with advanced laryngeal carcinoma.</p><p><b>METHODS</b>A retrospective data review of 87 advanced laryngeal carcinoma patients aged over 65 years was carried out. Of these 87 patients treated by different modes of surgery, 48 had supraglottic cancer, 35 glottic cancer and 4 subglottic cancer. The surgery modes consisted of major partial laryngectomy in 36 patients, subtotal partial laryngectomy with laryngoplasty in 21 and total laryngectomy in 30. All patients received postoperative radiotherapy to a dose of 50-60 Gy. Kaplan-Meier method was used to analyze the survival.</p><p><b>RESULTS</b>The overall 3- and 5-year survival rate was 73.2% and 67.4%, respectively. The ultimate rate of larynx preservation was 65.5%. Of 57 patients with partial laryngectomy, 46 were decannulated with a decannulation rate of 80.7%. Yet, in all patients, the nasal feeding tube was removed and food intake per os was resumed. All patients who underwent partial laryngectomy regained their phonation function.</p><p><b>CONCLUSION</b>It is safe and effective to treat and preserve laryngeal function surgically in the senile patients with advanced laryngeal carcinoma. The key points to achieve this are selection of proper patient, renovation of surgical procedure and improvement of surgical skill.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Postoperative Period
/
Neck Dissection
/
Radiotherapy
/
General Surgery
/
Carcinoma, Squamous Cell
/
Laryngeal Neoplasms
/
Retrospective Studies
/
Follow-Up Studies
/
Radiotherapy, Adjuvant
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Oncology
Year:
2007
Type:
Article
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