Artikel
Surgical management of laryngeal cancer
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Autoren
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Dusan Milisavljevic
- University ORL Clinic Nis, Serbia, Nis, Serbia
| Veröffentlicht: | 22. April 2008 |
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Gliederung
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Aim: The aim of our study is to update our experience in treating laryngeal carcinoma and to review the functional and oncologic results of operation.
Material and methods: In the period of January 1997 to January 2007, 386 patients with squamous cell carcinoma of the larynx were treated at the University ORL Clinic Nis, Serbia.
Results: 207 patients with glottic squamous cell carcinoma, 151 with supraglottis carcinoma and 28 with subglottis squamous cell carcinoma classified according to the fifth edition of the UICC staging system, were operated at University ORL Clinic Nis, Serbia.
We did 272 partial laryngectomies, 114 total laryngectomies. After three years after operations we noticed no evidence of disease in 312 our patients. In selected cases we used nonsurgical organ preservation methods, but the strategy in our clinic and in Serbia ORL clinics is organ preservation surgery with local control.
conclusion: The choice of therapy for laryngeal carcinoma depends on tumor spread, preservation of function and general condition.
Laryngectomy (partial or total) is an important therapeutic measure. Neck dissection usually accompanies laryngectomy. The survival rate is in direct correlarion with localization, size and regional spread of laryngeal tumor.
According to our results we state without any confusion that local control in our organ preservation surgery was satisfied and is most important for all patients who suffer from larynx squamous cell carcinoma despite of chronic hoarseness and eventual dysphagia.
