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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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