Organ-sparing surgery in supraglottic cancer : functional results and survival in 25 year period

english

1997

volume 31, issue 2

Onkološki inštitut Ljubljana

This study is to analyse my personal experience in organ-sparing surgery whichwas done for 348 patients between 1966 and 1990. Simplified (standard) supraglottic laryngectomy was used for T1 and T2 lesions in 245 patients. One hundred and three patients were operated on with extended supraglottic laryngectomy: 61 of those were treated by supraglottic subtotal laryngectomy and 42 patients by supraglottic larayngectomy extended to the base of the tongue. Significant problems with aspiration occurred in 26 patients (7.5%). In four of those, total laryngectomy was required. In three patients, tracheostomy was necessary. Local recurrence was recorded in 23 (6.6%). patients. Overall survival at 5 years was 74% in the first group, 69% in the second group, and 62% in the third group. The survival of patients without metastases in the neck was 84%, and in those with the metastases in the neck nodes was 50%. These results showed that, in supaglottic cancer, a good local control can be achieved by organ preserving surgery.

10.11.2023