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Supraglottic laryngectomy: experience with 66 patients over 20 years
A Nikolaou1, J Daniilidis, G Fountzilas
1Department of Otorhinolaryngology, AHEPA Hospital, Thessaloniki, Greece.
The Journal of Laryngology and Otology
|September 1, 1993
Summary
Supraglottic laryngectomy offers high survival rates for laryngeal cancer patients. This study found no significant difference in survival based on tumor stage (T1-T3) after this surgery.
Area of Science:
- Otolaryngology
- Oncology
- Surgical Oncology
Background:
- Supraglottic laryngeal carcinoma is a significant diagnosis.
- Surgical management, specifically supraglottic laryngectomy, is a key treatment modality.
- Understanding long-term outcomes is crucial for patient care.
Purpose of the Study:
- To evaluate the survival rates and outcomes of patients with supraglottic laryngeal carcinoma treated with supraglottic laryngectomy.
- To analyze the impact of tumor stage on survival.
- To discuss recurrences, complications, and indications for the procedure.
Main Methods:
- Retrospective review of 66 consecutive patients with untreated supraglottic laryngeal carcinoma.
- Patients underwent supraglottic laryngectomy between 1970 and 1989.
- Analysis included tumor staging (T1-T3), neck dissection, and post-operative radiotherapy.
Main Results:
- Overall two-year and five-year survival rates were 88.9% and 82.2%, respectively.
- No statistically significant differences in survival were observed between T1, T2, and T3 tumor stages.
- Recurrence rates, post-operative complications, and time to progression were analyzed.
Conclusions:
- Supraglottic laryngectomy demonstrates favorable survival outcomes for supraglottic laryngeal carcinoma.
- Tumor stage (T1-T3) did not significantly impact survival in this cohort.
- Further discussion on recurrence, complications, and surgical indications is warranted.