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[Horizontal supraglottic laryngectomy. Study on 41 operated cases between 1989-1996 in La Rioja].
L Sánchez Galán1, J Mollá Rulídez, G Calzada Uriondo
1Servicio de O.R.L., Hospital San Millán de Logroño.
Anales Otorrinolaringologicos Ibero-Americanos
|June 1, 2000
Summary
Horizontal supraglottic laryngectomy offers excellent oncologic and functional results for laryngeal cancer patients. This technique, particularly for early stages, demonstrates a high survival rate with minimal local recurrence.
Area of Science:
- Otolaryngology
- Surgical Oncology
Background:
- Laryngeal cancer treatment often involves complex surgical procedures.
- Horizontal supraglottic laryngectomy is a technique for managing laryngeal malignancies.
Purpose of the Study:
- To evaluate the oncologic and functional outcomes of horizontal supraglottic laryngectomy.
- To analyze survival rates and prognostic factors in patients undergoing this procedure.
Main Methods:
- Retrospective study of 41 patients treated between 1989 and 1996.
- Patients were classified by cancer stage (I-IV).
- Surgical outcomes, including recurrence and metastasis, were analyzed.
Main Results:
- The descent of the tongue base facilitated postoperative swallowing.
- Lymph node metastasis was identified as a significant negative prognostic factor (OR 2.61).
- Advanced cancer stages correlated with a reduced survival tendency.
Conclusions:
- Horizontal supraglottic laryngectomy demonstrates excellent oncologic control and functional results.
- The procedure is associated with a low rate of local recurrence, with one case successfully managed by total laryngectomy.