ABSTRACT
The article presents the results of conservative surgery in 102 patients with laryngeal cancer T2 and T3. Frontolateral laryngeal resections in different variants (endoprosthesis, extended, an inferior variant) were conducted in 85 (83.3%) patients, horizontal laryngeal resection - in 17 (16.7%) patients (a combined variant -in 2 of them). The treatment resulted in primary healing of a postoperative wound in 92 (90.2%) patients. Complications consisted in development of pharyngeal fistula, suppuration of the postoperative wound, first of all in combined and extended resections, after a total dose of radiotherapy. Minor operations on the larynx enabled decannulation of 98 (96.1%) patients. Four (3.9%) patients continue to carry cannula because of marked scarry alterations.
Subject(s)
Laryngeal Neoplasms/surgery , Minimally Invasive Surgical Procedures/methods , Salvage Therapy/methods , Adult , Female , Humans , Male , Neoplasm InvasivenessABSTRACT
Laryngeal echosonography was made in 50 healthy subjects and 186 patients with laryngeal cancer to evaluate efficacy of ultrasound in diagnosis of laryngeal cancer. The study revealed sonographic characteristics typical for laryngeal cancer, endophytic tumors, in particular. Ultrasound can assess involvement of the laryngeal cartilages and severity of their lesion, invasion of the tumor into the underlying tissues and cervical organs. The tumor can be verified by puncture aspiration biopsy using ultrasound monitor. All this allows more effective choice of an optimal treatment method and planning of the scope of surgical intervention.
