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Emergency laryngectomy.

M H Wickham1, A A Narula, R P Barton

  • 1Department of Otolaryngology, Leicester Royal Infirmary, UK.

Clinical Otolaryngology and Allied Sciences
|February 1, 1990
PubMed
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Emergency laryngectomy effectively treats malignant upper airway obstruction, combining urgent relief with cancer surgery. This approach resulted in 47% 5-year survival and prevented stomal recurrence in treated patients.

Area of Science:

  • Otolaryngology
  • Surgical Oncology
  • Head and Neck Cancer

Background:

  • Malignant upper airway obstruction necessitates timely intervention.
  • Emergency laryngectomy aims to relieve obstruction and perform primary cancer surgery.
  • This procedure may reduce the risk of post-laryngectomy stomal recurrence.

Purpose of the Study:

  • To evaluate the efficacy of emergency laryngectomy for malignant upper airway obstruction.
  • To assess the oncological outcomes, specifically stomal recurrence rates.
  • To compare emergency laryngectomy with conventional treatments for airway obstruction.

Main Methods:

  • A retrospective review of 13 patients undergoing emergency laryngectomy over 5 years.
  • Diagnosis confirmed via laryngoscopy and frozen section biopsy for squamous cell carcinoma.

Related Experiment Videos

  • Total laryngectomy performed for laryngeal or piriform fossa cancers.

    • Main Results:

    • Actuarial 5-year survival rate was 47%.
    • No instances of stomal recurrence were observed in the study cohort.
    • Airway obstruction management and post-operative complications were comparable to conventional methods.

    Conclusions:

    • Emergency laryngectomy is a viable and satisfactory option for managing malignant upper airway obstruction.
    • The procedure effectively addresses airway compromise while providing definitive cancer treatment.
    • The absence of stomal recurrence suggests a potential benefit of this approach.