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Updated: Aug 14, 2026
Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
[Near-total laryngectomy. Experience, complications and acoustic analysis]
C de Paula Vernetta1, L de la Fuente Arjona, F J García Callejo
1Hospital Clinico Universitario de Valencia. carlospaula@telefonica.net
Objective:
To investigate the oncological efficiency, voice and complications of Pearson's near-total laryngectomy for advanced laryngeal cancers (T3, T4).
Material And Methods:
A retrospective review of 23 cases of near-total laryngectomy (carried out in our Hospital in the last nine years) was undertaken.
Results:
None of the cases developed laryngeal mucosal recurrences. The overall three and five years disease free survival were 91,3% and 86,9%. Mean phonation time was 51 days. A statistically significant results were observed in our voice analysis (words/minute, taking as a reference healthy people (Medivoz). The pharyngeal fistula was the most frequent complication (60,86%).
Conclusions:
The local control of cancer was similar to that expected with total laryngectomy. Near-total laryngectomy is a valid alternative for extended laryngeal and neighbouring cancers with an acceptable morbidity and success rate for voice preservation.
