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The Journal of Laryngology & Otology The Journal of Laryngology & Otology

Article contents

Primary surgical treatment for carcinoma of the larynx: influence of the local invasion

Published online by Cambridge University Press:  29 June 2007

Ž. Petrović ,
B. Krejović ,
V. Djukić  and
P. Stanković
Ž. Petrović*
Affiliation:
Belgrade, Yugoslavia
B. Krejović
Affiliation:
Belgrade, Yugoslavia
V. Djukić
Affiliation:
Belgrade, Yugoslavia
P. Stanković
Affiliation:
Belgrade, Yugoslavia
*
Dr Z. Petrovic, Clinical Centre Medical Faculty, Clinic for Otorhinolaryngology and Maxillofacial Surgery, 2 Pasterova Street, 11000 Belgrade, Yugoslavia.
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Abstract

In the period from 1976 to 1988, 417 patients with supraglottic carcinoma of the larynx were treated by primary surgery.

Infiltration of the pre-epiglottic space was found in 11.99 per cent (50/417) of the patients. Carcinomas of the infrahyoid epiglottis spread to this space more frequently—14.24 per cent (44/309), than those of suprahyoid localization—5.55 per cent (6/108). Tumour invasion of the pre-epiglottic space is a relative contraindication for reconstructive surgery. Partial conservation operations were performed on 32 per cent (16/50) of patients with invasion of the pre-epiglottic space. The remaining patients had a total laryngectomy.

Infiltration of the paraglottic space intra-operatively was found in 2.4 per cent (10/417) of patients and all of these tumours were from the infrahyoid localization. Spread of tumours to this site is an indication for radical surgery and laryngectomy was performed on 80 per cent (8/10) of patients.

Keywords

Laryngeal neoplasms, carcinomaLaryngeal surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 5 , May 1991 , pp. 353 - 355
Copyright
Copyright © JLO (1984) Limited 1991

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References

Dayal, S. V., Bahri, H., Stone, C. P. (1972) Pre-epiglottic space. Archives of Otolaryngology, 95: 130–133.CrossRefGoogle Scholar
Kleinsasser, O. (1968) Microlaryngoscopy and endolaryngeal microsurgery. W. B. Saunders Co.: Philadelphia.Google ScholarPubMed
McDonald, T. J., De Santo, I. W., Weiland, L. H. (1976) Supraglottic larynx and its pathology as studied by whole laryngeal section. Laryngoscope, 86: 637–644.CrossRefGoogle Scholar
Tucker, G. F. (1974) The anatomy of laryngeal cancer. Journal of the Otolaryngology Society of Australasia, 3: 617–622.Google ScholarPubMed
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