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Revista de otorrinolaringología y cirugía de cabeza y cuello

versión On-line ISSN 0718-4816

Resumen

CELEDON L, Carlos; ROYER P, Michel  y  ORTUZAR B, Lorena. Partial laryngectomy for early laryngeal cancer: A 25-year experience. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2008, vol.68, n.2, pp.117-123. ISSN 0718-4816.  http://dx.doi.org/10.4067/S0718-48162008000200002.

Introduction. Partial laryngectomy and radiotherapy are good alternatives for early laryngeal cáncer, as they are similar in both survival rate and laryngeal preservation. Aim. The first author's 25-year experíence on this subject is described. Material and method. Retrospective review of early laryngeal cáncer patients treated between 1980 and 2005. History type of treatment, tumor histology complications and survival rafes are analyzed. Resulte. A total of 96 patients is included, with an average age of 58 years. The most frequent histological type was epidermoid carcinoma (92%). 53% of patients had partial laryngectomy, and 47% had radiotherapy. Most patients had a fronto-lateral laryngectomy (68%), and the most frequent complications were granulomas (16%) and failure of tracheostoma closure (16%). Four radiotherapy patients and one that underwent surgery had recurrences. Present survival rate is91% for radiotherapy and 100% for partial laryngectomy. Treatment results with and without anterior comissure involvement are presented. Discussion and conclusions. Our experience with both treatment alternatives is comparable to that reponed in the literature, with similar complications. New techniques must be compared with those currently used, taking into account local reality and the therapeutic decisión is still an informed agreement between the treating physician and the patient.

Palabras clave : Early laryngeal cancer; partial laryngectomy; radiotherapy.

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