Horizontal glottectomy: technique, oncological and functional results = Horizontalna glotektomija: tehnika ter onkološki in funkcionalni rezultati
Russolo, Mario ; Tirelli, Giancarlo ; Giacomarra, Vittorio
Background: The aim of this study is to describe the indications, surgical technidue and oncological and functional results of horizontal glottectomy in laryngeal carcinoma. Materials and methods: ...Twenty-two patients suffering fromdifferentiated glottal carcinoma (16 T1b and 6 T1a) treated between 1986 and 1996. Classic horizontal glottectomy, with some modifications, not extended to the ventricular fold or to the arytenoid cartilage, was performed in every patient. All patients followed a postoperative rehabilitation programme. The times of feeding tube removal, decannulation and voice production were considered. Results: No local recurrence was recorded in any of the patients, however follow-up on two cases lasted only three years. No postoperative radiotherapy was used. Two patients died from cardiovascular causes. Average post-operative times were: discharge from the hospital after 10.5 days; feeding tube removal after 7.5 days; decannulation after 9.5 days. No major pulmonary complications or laryngeal stenosis following surgery was recorded. In all patients, adequate voice production was achieved. Conclusions: Our results show that horizontal glottectomy is a safe procedure for the treatment of laryngeal cancer. Provided that case selection is very accurate, local control of the disease can reach 100%. Rapid and excellent laryngeal function may thus be obtained and the voice production is adequate in every patient.
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