Surgical treatment of postcricoid carcinoma / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
; (12): 427-430, 2005.
Article
in Chinese
| WPRIM (Western Pacific)
| ID: wpr-288864
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the surgical techniques in surgical treatment of postcricoid carcinoma.</p><p><b>METHODS</b>Twenty-one cases with postcricoid carcinoma were treated surgically. The TNM stage were as follows T3NOM0 5 cases, T3N1M0 1 case, T3N2M0 2 cases, T4NOM0 7 cases, T4N1M0 4 cases, T4N2M0 1 case, T4N3M0 1 case. The laryngeal and pharyngeal functions were rebuilt by the remaining tissue when the lesions entirely removed. Ten cases were surgically treated with laryngeal functions preserved and 11 cases with total laryngectomy. Eight cases were received unilateral neck dissection, and 3 cases were received bilateral neck dissection. All the cases received postoperative radiotherapy.</p><p><b>RESULTS</b>The follow-up interval varied from 60 to 276 months with average interval 96 months. Four cases died of cervical metastasis,3 died of local recurrence, 1 died of cardiopulmonary failure, 2 died of unknown reasons. The overall 3 and 5 year survival rates were 61.9% (13/21) and 52.4% (11/21), respectively. Among 10 cases having laryngeal functions partially restored (voice and deglutition), the postoperative complications included 5 cases of pharyngeal fistula, 3 hypopharyngeal stenosis and 1 severe aspiration.</p><p><b>CONCLUSIONS</b>The preservative surgery is feasible for the selected cases with postcricoid carcinoma. The laryngeal function can be partially restored with lesions entirely removed. The patients can gain satisfied survival rate and quality of life.</p>
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Larynx Cancer
/
Other Respiratory Diseases
Database:
WPRIM (Western Pacific)
Main subject:
Neck Dissection
/
General Surgery
/
Carcinoma, Squamous Cell
/
Laryngeal Neoplasms
/
Survival Rate
/
Mortality
/
Cricoid Cartilage
/
Laryngectomy
Type of study:
Prognostic study
Aspects:
Patient-preference
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Year:
2005
Document type:
Article