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Á¢¼ö¹øÈ£ - 270261 4 |
RECURRENT GLOTTIC CANCER SURGICAL TREATMENT OUTCOME : TOTAL LARYNGECTOMY
VS PARTIAL LARYNGECTOMY |
DEPARTMENT OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY, ASAN MEDICAL CENTER, UNIVERSITY OF ULSAN COLLEGE OF MEDICINE, SEOUL, REPUBLIC OF KOREA |
SE EUN YI, WON SUB LIM, YOON SE LEE, YOUNG HO JUNG, SEUNG-HO CHOI, SANG YOON KIM, SOON YUHL NAM |
¸ñÀû: Early glottic cancer (T1 or T2) can be effectively treated with either
surgery such as laser cordectomy or radiotherapy. While total
laryngectomy is usually performed in recurrent glottic cancer, partial
laryngectomy such as supracricoid partial laryngectomy or vertical
partial laryngectomy is often used in selected cases for voice
preservation. This study was designed to compare surgical outcomes in
Total laryngectomy (TLE) and partial laryngectomy (PLE). ¹æ¹ý:This is retrospective study of 50 patients who underwent laryngectomy in
recurrent glottic cancer from 2012 to 2020. We analyzed wound
complication, oral feeding failure, voice preservation and overall
survival in TLE and PLE group. °á°ú:Thirty-one patients underwent TLE and nineteen underwent PLE. In the
TLE group, pharyngocutaneous fistula occurred in seven patients, but
not in the PLE group (P=0.04). Oral feeding failure was found in 8
patients of TLE group and 1 patient of PLE group (p=0.13). Fourteen
patients in the PLE group preserved their voices. There was a
significant difference between PLE group and TLE group in terms of
voice preservation (p<0.01)..
The mean overall survival time is 127.62¡¾18.08 months in TLE group
and 174.83¡¾13.80 months in PLE group. There were no differences of
overall survival time between TLE group and PLE group (p=0.13).
°á·Ð:Recurrent glottic cancer has usually been treated by total laryngectomy.
If the patient is selected with careful consideration, partial
laryngectomy can be a useful treatment modality in terms of voice
preservation, wound complication and survival outcome. |
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