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[On the recurrence risk with partial larynx resections (author's transl)]
Laryngologie, Rhinologie, Otologie
|June 1, 1978
Summary
Recurrence rates after partial larynx resections are 22%. Hautant hemiresections show the highest recurrence (40%), especially with arytenoid cartilage or vocal cord mobility issues. Prognosis for radical surgery after partial resection failure is uncertain.
Area of Science:
- Otolaryngology
- Surgical Oncology
Context:
- Analysis of 28 recurrence cases following 127 partial larynx resections (vertical and horizontal).
- Evaluation of factors influencing recurrence after laryngeal surgery.
Purpose:
- To analyze recurrence rates and identify risk factors in partial larynx resections.
- To assess the outcomes of different partial resection techniques, specifically Hautant hemiresections.
Summary:
- Recurrence observed in 22% of partial larynx resections.
- Unfavorable preconditions include arytenoid cartilage involvement and vocal cord immobility.
- Hautant hemiresections demonstrated the highest recurrence rate at 40%.
Impact:
- Highlights the importance of preoperative assessment for vocal cord mobility and arytenoid cartilage status.
- Suggests caution with Hautant hemiresections due to high recurrence rates.
- Indicates uncertainty in prognosis for radical salvage surgery after failed partial resections.