A nine-year institutional experience with near-total laryngectomy

American Journal of Surgery
Norberto K KavabataMarcelo Benedito Menezes

Abstract

Pearson's near-total laryngectomy (NTL) is an alternative procedure to total laryngectomy in selected patients with advanced laryngeal cancer. Based on our experience with NTL for >9 years, we present here the functional results, complications, and survival rates. A retrospective study was carried out from January 1993 to May 2002. We studied 15 patients with advanced laryngeal, oropharyngeal, and hypopharyngeal cancer who underwent NTL. Survival rates were calculated using the Kaplan-Meier method. The most common complication was fistula (8 of 15) followed by minor aspiration (4 of 15 patients). Eleven patients (73.5%) attained a good voice; 3 patients (19.9%) obtained a bad voice; and 1 did not achieved vocal ability. Three patients (19.9%) had local recurrence; no patients had neck recurrence; and 2 patients (13.3%) had distant metastasis. Six patients (40%) died from their disease, and 2 (13.3%) patients died from other causes. The 3-year actuarial survival rate was 81.6%. NTL is useful in the treatment of selected patients with advanced laryngeal, oropharyngeal, and hypopharyngeal cancer and results in good control and survival rates. Satisfactory functional results can be attained in the majority of patients. When the sur...Continue Reading

References

Jan 1, 1989·The Annals of Otology, Rhinology, and Laryngology·L W DeSantoK D Olsen
Jun 1, 1985·Archives of Otolaryngology·K T Robbins, L Michaels
Nov 1, 1981·The Laryngoscope·B W Pearson
Jul 1, 1994·Head & Neck·P A LevineJ F Reibel
May 1, 1996·Archives of Otolaryngology--head & Neck Surgery·G W SuitsE C Everts
Sep 1, 1996·The Annals of Otology, Rhinology, and Laryngology·J GavilánI Rabanal
May 1, 1997·Archives of Otolaryngology--head & Neck Surgery·K S ClementsK H Calhoun
Oct 30, 1998·The Annals of Otology, Rhinology, and Laryngology·B W PearsonJ R Salassa
Feb 15, 2002·Archives of Otolaryngology--head & Neck Surgery·Ismet AslanNecdet Biliciler

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Citations

Apr 13, 2012·The Journal of Laryngology and Otology·A K D'CruzP S Pai
Sep 13, 2007·Otolaryngologia polska. The Polish otolaryngology·Stanisław Betlejewski, Anna Szymańska-Skrzypek

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