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["Near-total" laryngectomy: functional results]
M P Prim Espada1, I Rabanal Retolaza, J I de Diego Sastre
1Servicio de ORL, Hospital La Paz, Universidad Autónoma de Madrid.
Acta Otorrinolaringologica Espanola
|March 1, 1996
Summary
Near total laryngectomy offers a viable alternative for advanced laryngeal tumors, with most patients achieving speech. This laryngeal cancer surgery resulted in a high speech recovery rate and manageable swallowing issues.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Speech Pathology
Context:
- Advanced laryngeal tumors often necessitate aggressive surgical intervention.
- Total laryngectomy, while effective, can significantly impact quality of life.
- Near total laryngectomy presents a less invasive organ-preserving option.
Purpose:
- To evaluate the functional outcomes of near total laryngectomy in patients with advanced laryngeal cancer.
- To assess speech and swallowing recovery post-surgery.
- To determine the complication rates associated with this procedure.
Summary:
- A prospective study included 40 patients undergoing near total laryngectomy for advanced laryngeal tumors.
- Speech was achieved in 74.3% of patients within 63 days, with 84.6% speaking after 5 months.
- Pharyngo-cutaneous fistula was the most frequent complication (58.9%), while 13.9% experienced major swallowing problems.
Impact:
- Near total laryngectomy demonstrates a high rate of successful speech rehabilitation.
- The Barton-Mayo button facilitated voice restoration in half of the patients achieving speech.
- This organ-preserving approach offers a promising alternative for select laryngeal cancer patients, balancing oncologic control with functional preservation.