Is postoperative radiotherapy routinely indicated after total laryngectomy for pT3N0-1 supraglottic carcinoma?

Oral Oncology ◽  
2020 ◽  
Vol 107 ◽  
pp. 104825
Author(s):  
Giuseppe Sanguineti ◽  
Antonello Vidiri ◽  
Raul Pellini
Keyword(s):  
Total Laryngectomy ◽  
Postoperative Radiotherapy ◽  
Supraglottic Carcinoma

scholarly journals Supraglottic Laryngectomy with or without Postoperative Radiotherapy in Supraglottic Carcinomas

1995 ◽  
Vol 104 (5) ◽  
pp. 358-363 ◽  
Author(s):  
Carlos Suárez ◽  
Juan Pablo Rodrigo ◽  
José Luis Llorente ◽  
Jesús Herranz ◽  
José Antonio Martínez
Keyword(s):  
Overall Survival ◽  
Local Recurrence ◽  
Recurrence Rate ◽  
Retrospective Review ◽  
Postoperative Radiotherapy ◽  
Combined Therapy ◽  
Supraglottic Laryngectomy ◽  
Supraglottic Carcinoma ◽  
Significant Difference ◽  
Neck Recurrence

A retrospective review of 193 previously untreated patients with primary supraglottic carcinoma was undertaken to ascertain the efficacy of postoperative radiotherapy. All the patients received a supraglottic laryngectomy, and patients received a total of 284 elective or therapeutic neck dissections. Ninety-four (48.7%) of the patients received postoperative radiotherapy. The incidence of local recurrence was 8.2%, but the recurrence rate was unrelated to the use of postoperative radiotherapy. Neck recurrence was observed in 12.9% of patients, with no influence of postoperative radiotherapy in the dissected neck. The incidence of locoregional recurrences by stage in irradiated and nonirradiated patients did not reach significant difference. The 3-year survival was 74.3%. The overall survival of the whole series and by stage was not statistically altered in combined therapy compared to surgery.

Total laryngectomy and postoperative radiotherapy for T4 laryngeal cancer: a 14-year review

2004 ◽  
Vol 25 (2) ◽  
pp. 88-93 ◽  
Author(s):  
Federico L Ampil ◽  
Cherie Ann O Nathan ◽  
Gloria Caldito ◽  
Timothy F Lian ◽  
Robert F Aarstad ◽  
...  
Keyword(s):  
Laryngeal Cancer ◽  
Total Laryngectomy ◽  
Postoperative Radiotherapy

scholarly journals Onset of hypothyroidism after total laryngectomy: Effects of thyroid gland surgery and preoperative and postoperative radiotherapy

Head & Neck ◽  
2020 ◽  
Vol 42 (4) ◽  
pp. 636-644
Author(s):  
Robert E. Plaat ◽  
Boukje A. C. Dijk ◽  
Anneke C. Muller Kobold ◽  
Roel J. H. M. Steenbakkers ◽  
Thera P. Links ◽  
...  
Keyword(s):  
Thyroid Gland ◽  
Total Laryngectomy ◽  
Postoperative Radiotherapy ◽  
Thyroid Gland Surgery

scholarly journals Clinical outcomes of total laryngectomy for laryngeal carcinoma

1970 ◽  
Vol 7 (3) ◽  
pp. 258-262 ◽  
Author(s):  
Y Bajaj ◽  
A Shayah ◽  
N Sethi ◽  
AT Harris ◽  
I Bhatti ◽  
...  
Keyword(s):  
Laryngeal Carcinoma ◽  
Total Laryngectomy ◽  
Postoperative Radiotherapy ◽  
Tnm Staging ◽  
Senior Author ◽  
Retrospective Case ◽  
General Infirmary ◽  
Severely Handicapped ◽  
Voice Use

Background: Controversy exists as to the management of advanced laryngeal carcinoma. In general primary radical surgery is favoured. Objective: The aim of this study was to analyse the clinical outcome of patients having total laryngectomy for cancer of larynx. Materials and methods: This study was a retrospective case note review and questionnaires were used for evaluating voice handicap. These laryngectomies included in this study were performed by the senior author (CJW) from January 2001 till June 2007 at Leeds General Infirmary, Leeds. Some of the patients had partial or total pharyngectomy in addition to total laryngectomy. Results: In this study a total of 59 patients were included. Seventeen (28.8%) of these patients had preoperative radiotherapy and laryngectomy was performed for residual or recurrent disease. The initial TNM staging of the tumour ranged from T1N0 to T4N2C. Tracheoesophageal puncture for speech prosthesis was done in 48/59 (81.4%) patients. Post-operative complications were seen in 30.5% (18/59) patients. In this study group 9 patients (15.2%) developed pharyngocutaneous fistulas. For communication 31/51 (60.8%) patients were using speech valves. In this study 30.4% had minimal, 26.1% moderate and the rest 43.4% feeling severely handicapped with regards to voice use after total laryngectomy. Five year survival after laryngectomy in this study was 65.2%. Conclusion: Long term disease control and survival is achievable with total laryngectomy with or without postoperative radiotherapy with minimal risks in patients with advanced carcinoma of larynx. Key words: Laryngectomy; Larynx; Carcinoma DOI: 10.3126/kumj.v7i3.2734 Kathmandu University Medical Journal (2009) Vol.7, No.3 Issue 27, 258-262

Long-Term Quality of Life After Total Laryngectomy and Postoperative Radiotherapy Versus Concurrent Chemoradiotherapy for Laryngeal Preservation

2008 ◽  
Vol 118 (2) ◽  
pp. 300-306 ◽  
Author(s):  
Paolo Boscolo-Rizzo ◽  
Francesca Maronato ◽  
Carlo Marchiori ◽  
Alessandro Gava ◽  
Maria Cristina Da Mosto
Keyword(s):  
Quality Of Life ◽  
Total Laryngectomy ◽  
Concurrent Chemoradiotherapy ◽  
Postoperative Radiotherapy ◽  
Laryngeal Preservation

Primary Vocal Rehabilitation Using the Blom-Singer and Panje Voice Prostheses

1982 ◽  
Vol 91 (4) ◽  
pp. 458-460 ◽  
Author(s):  
Michael D. Maves ◽  
Raleigh E. Lingeman
Keyword(s):  
Speech Production ◽  
Standard Method ◽  
Total Laryngectomy ◽  
Medical Center ◽  
Postoperative Radiotherapy ◽  
Neck Surgery ◽  
Indiana University ◽  
Vocal Rehabilitation ◽  
Tracheoesophageal Puncture ◽  
Second Procedure

Vocal rehabilitation by means of tracheoesophageal puncture and placement of either the Blom-Singer or Panje silicone prosthesis has become a standard method of speech production following total laryngectomy. The same technique has been employed primarily at the time of the laryngectomy by the Department of Otolaryngology-Head and Neck Surgery, Indiana University Medical Center, and our experience with 11 patients undergoing this technique forms the basis for this report. Of the ten patients available for evaluation, all have developed satisfactory prosthetic speech 2–12 weeks following total laryngectomy. Advantages of this technique include the utilization of standard laryngectomy without compromise of oncologic principles, elimination of a second procedure to place the tracheoesophageal puncture, elimination of the nasogastric tube, care in the pharyngeal closure to afford the maximum success of prosthetic speech production, and finally, the psychological boost. Limitations of the technique have been few but relate to limited voicing with postoperative radiotherapy and unrealistic patient expectations.

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