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Extended supraglottic laryngectomy. Review of 84 cases
The Annals of Otology, Rhinology, and Laryngology
|July 1, 1987
Summary
Extended supraglottic laryngectomy offers a high 5-year cure rate (75%) for advanced laryngeal cancer. Most patients achieve full functional rehabilitation, making this procedure a valuable option for suspected extralaryngeal invasion.
Area of Science:
- Otolaryngology
- Surgical Oncology
Background:
- Vestibular cancers can invade beyond standard supraglottic laryngectomy boundaries.
- Extended supraglottic laryngectomy encompasses wider resection areas.
Purpose of the Study:
- To evaluate the efficacy and outcomes of extended supraglottic laryngectomy.
- To assess functional rehabilitation and cure rates in patients undergoing this procedure.
Main Methods:
- Retrospective analysis of 84 extended supraglottic laryngectomies performed between 1970 and 1980.
- Data collection on cure rates, functional rehabilitation, and rehabilitation duration.
Main Results:
- Achieved a favorable 5-year cure rate of 75%.
- Full functional rehabilitation was observed in all but three patients.
- Rehabilitation time can be extended, particularly with extensive base of tongue resection.
Conclusions:
- Extended supraglottic laryngectomy is a highly effective procedure for advanced laryngeal cancers.
- The procedure offers excellent oncological outcomes with high rates of functional preservation.
- Consideration for extended supraglottic laryngectomy should include suspected extralaryngeal invasion.
