Related Experiment Videos
[The extended indications of near-total laryngectomy]
1Department of Head and Neck Surgery, Cancer Hospital, Chinese Academy of Medical Science, Peking Union Medical University, Beijing 100021.
Objective:
To evaluate near-total laryngectomy in treatment of laryngeal cancers.
Methods:
Fifty-seven near-total laryngectomies were reviewed, among them 40 were T3 or T4 laryngeal cancers due to tumor invasion to the base of tongue or subglottic region.
Results:
In these patients, there were 11 cases of T3 pyriform sinus cancers, 5 cervical esophageal cancers, 1 case with adenoid cystic carcinoma involving the base of the tongue and oropharynx. Speech function had been preserved in 93% of cases with normal swallowing. Three year survival rates were 67.5% in laryngeal cancer and 50% in hypopharyngeal cancer. Local recurrence rate was only 3.5%.
Conclusion:
The authors believed that near-total laryngectomy is safe and beneficial to the patients with the above types of cancers. The quality of life may improve if speech function is preserved.