A view of partial laryngectomy in the treatment of laryngeal cancer

1987 ◽  
Vol 101 (2) ◽  
pp. 143-154 ◽  
Author(s):  
H. J. Shaw
Keyword(s):  
Laryngeal Cancer ◽  
Glottic Cancer ◽  
Partial Laryngectomy ◽  
Therapeutic Dosage ◽  
Reasonable Expectation ◽  
Functional Conservation ◽  
Supraglottic Cancer ◽  
Results Of Treatment ◽  
The United Kingdom ◽  
Conservation Surgery

AbstractAttention is drawn to the problems of surgical resection by partial laryngectomy after full therapeutic dosage of telecobalt irradiation. Material is presented from two treatment centres to indicate trends in surgical treatment and the complications experienced. Results will be given which confirm a reasonable expectation of cure and functional conservation by vertical partial laryngectomy for recurrence of glottic cancer after irradiation. The results of treatment of recurrent supraglottic cancer by horizontal partial laryngectomy gave more cause for concern in terms of complications and survival. In conclusion an attempt is made, based on the quoted experience, to define the position of conservation surgery in two centres for laryngeal cancer in the United Kingdom.

Partial Laryngectomy and Radiotherapy for Supraglottic Cancer: A Conservative Approach

1989 ◽  
Vol 98 (2) ◽  
pp. 125-129 ◽  
Author(s):  
Cynthia A. Spaulding ◽  
Paul A. Levine ◽  
William C. Constable ◽  
Robert W. Cantrell
Keyword(s):  
Preoperative Radiotherapy ◽  
Postoperative Radiotherapy ◽  
Partial Laryngectomy ◽  
University Of Virginia ◽  
Moderate Dose ◽  
Supraglottic Cancer ◽  
T2 Lesions ◽  
Conservation Surgery ◽  
The University

This is a retrospective study of 33 patients with supraglottic cancer treated with partial laryngectomy and moderate-dose radiotherapy at the University of Virginia from 1967 through 1986. All patients had a 2-year minimum follow-up. Ten patients received preoperative radiotherapy, and 23, postoperative radiotherapy. The 2-year adjusted survival rate was impressive at 97%. Local control at 2 years was 96%, including one patient who was salvaged with total laryngectomy. Control of the neck was 90% at 2 years. Ninety percent of the patients alive at 2 years had a functional voice. One patient required a completion laryngectomy for chronic aspiration. Conservation surgery with radiotherapy provides excellent survival as well as locoregional control rates with preservation of function in selected patients with supraglottic cancer. This approach may be especially helpful in the management of bulky T2 lesions as well as T4 lesions with minimal vallecula or base of tongue involvement.

Utility of Near-Total Laryngectomy for Supraglottic, Pharyngeal, Base-of-Tongue, and other Cancers

1989 ◽  
Vol 98 (1) ◽  
pp. 2-7 ◽  
Author(s):  
Lawrence W. DeSanto ◽  
Bruce W. Pearson ◽  
Kerry D. Olsen
Keyword(s):  
General Health ◽  
Total Laryngectomy ◽  
Glottic Cancer ◽  
Pharyngeal Cancer ◽  
Poor General Health ◽  
Supraglottic Cancer ◽  
Base Of Tongue ◽  
Conservation Surgery ◽  
Tumor Extent

This report emphasizes the utility of the near-total laryngectomy for those patients in whom conventional conservation surgery is an option but may be oncologically or physiologically unsafe. The near-total operation can be offered for supraglottic cancer, pharyngeal cancer, and, more commonly, primary glottic cancer with cord fixation. Its application is described for patients who are candidates for conventional conservation surgery but are compromised physiologically by age or poor general health and for patients in whom tumor extent would not permit safe conventional conservation surgery.

SUPERSELECTIVE INTRA-ARTERIAL CHEMORADIOTHERAPY FOR LARYNGEAL CANCER-IS IT REASONABLE TO TREAT GLOTTIC CANCER IN A SIMILAR WAY TO SUPRAGLOTTIC CANCER?-

Toukeibu Gan ◽  
2006 ◽  
Vol 32 (4) ◽  
pp. 464-467 ◽  
Author(s):  
Tomokazu YOSHIZAKI ◽  
Shigeyuki MURONO ◽  
Naohiro WAKISAKA ◽  
Satoru KONDO ◽  
Mitsuru FURUKAWA
Keyword(s):  
Laryngeal Cancer ◽  
Glottic Cancer ◽  
Supraglottic Cancer

scholarly journals Review of recent treatment trends of laryngeal cancer in Poland: a population-based study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e045308
Author(s):  
Anna Rzepakowska ◽  
Michał Żurek ◽  
Kazimierz Niemczyk
Keyword(s):  
Laryngeal Cancer ◽  
Radical Resection ◽  
Population Based ◽  
Treatment Modalities ◽  
Secondary Outcome ◽  
Partial Laryngectomy ◽  
Population Based Study ◽  
New Diagnosis ◽  
Treatment Trends ◽  
Subsequent Rise

ObjectivesTo investigate the utilisation of different treatment modalities for patients with laryngeal cancer (LC) during last decade in Poland.SettingRetrospective population-based study.ParticipantsPatients with LC treated between January 2009 and December 2018.Primary and secondary outcome measuresThe contemporary utilisation of treatment modalities of LC: surgery with intent of radical resection (total or partial laryngectomy), radiotherapy (RT) and chemoradiotherapy (CRT).ResultsThere was determined the overall number of 22 957 new diagnosis of LC from 2010 to 2018 and confirmed the steady decrease in the incidence rate of LC in the following years from 7.7 to 6.03. The mean age of patients with LC was raising by an average of 0.3832 of year per year. There was observed decrease in number of total laryngectomies (TLs) in subsequent years (from 1122 in 2009 to 776 in 2018). The number of procedures involving partial laryngeal resection was within stable ranges however the upward trend was observed separately for vocal cordectomy. There was established decreased involvement of surgery in LC treatment from 52.8% in 2009 to 24.3% in 2016 with the subsequent rise to 33.7% in 2018. The percentage of patients receiving RT increased from 23.8% in 2009 to 42.1% in 2013 with the next decrease to 25.7% in 2018. The utilisation of CRT in LC treatment was progressively increasing over analysed years from 23.4% in 2009 reaching 40.6% in 2018.ConclusionsThe presented data revealed an increase in total number of organs preserving treatment modality with CRT in subsequent years with decreasing number of TLs in Polish patients with LC.

Completion Laryngectomy

1979 ◽  
Vol 88 (2) ◽  
pp. 172-177 ◽  
Author(s):  
Ernest M. Myers ◽  
Joseph H. Ogura
Keyword(s):  
Local Recurrence ◽  
Clinical Presentation ◽  
Medical Center ◽  
Partial Laryngectomy ◽  
Respiratory Obstruction ◽  
High Incidence ◽  
Conservation Surgery ◽  
Upper Respiratory ◽  
Washington University ◽  
Salvage Rate

From 1965 to 1975, 452 total laryngectomies were performed at the Washington University Medical Center, St. Louis, Missouri. Forty-two or 9.4% were completion laryngectomies. Completion laryngectomy is defined as the removal of the remaining larynx following an antecedent partial laryngectomy. These 42 cases are retrospectively analyzed in regards to original conservation surgery, clinical presentation, histopathology and salvage rate. The most common indications for completion laryngectomy were: 1) local recurrence, 2) local recurrence with associated severe upper respiratory obstruction, and 3) fistula control. The overall salvage rate following completion laryngectomy was 55% (23 patients). The highest rate was in patients with previous hemilaryngectomy (69%), followed by subtotal supraglottic laryngectomy (44%), and partial laryngopharyngectomy (14%). There is a high incidence of stomal occurrences (24% or 10 patients) associated with completion laryngectomy, particularly in patients with antecedent hemilaryngectomy. Most indications for completion laryngectomy present early, however, all patients must be carefully followed. Both the patient and the otolaryngologist must be ever vigilant following conservation surgery.

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