Ohranitvena kirurgija grla po obsevalnem zdravljenju = Partial laryngectomy in the treatment of radiation failure
Aničin, Aleksandar ; Šmid, Alojz, 1941-
A series of 14 patients was reviewed who had been treated with conservation surgery of the laryrn` for radiotherapy failure of early glottic squamous cellcarcinoma between 1982 and 1999 at the ...Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre, Ljubljana, Slovenia. Themedian disease-free interval prior to surgery was 9.5 months. Selection of the surgical procedure was based on tumour size at the time of surgery. Cordectomy was performed in six patients, and three had extended cordectomy, four vertical frontolateral laryngectomy and one endoscopic laser cordectomy. In two patients, healing was delayed because of infection, and one of them hada laryngocutaneous fistula. Local recurrence developed in 21.5% of cases, and 93% of all patients (13/14) were cured with additional salvage laryngectomy. Partial laryngectomy after failed irradiation of early glottic carcinoma provides good local control and voice preservation and is the cornerstone of successful treatment, along with early diagnosis and appropriate patient selection.
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