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Supraglottic laryngectomy–series report and analysis of results

Published online by Cambridge University Press:  29 June 2007

G. Adamopoulos ,
I. Yotakis ,
K. Apostolopoulos ,
L. Manolopoulos ,
D. Kandiloros  and
E. Ferekidis
G. Adamopoulos
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece.
I. Yotakis*
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece.
K. Apostolopoulos
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece.
L. Manolopoulos
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece.
D. Kandiloros
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece.
E. Ferekidis
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece.
*
Address for correspondence: John Yiotakis, M.D., Ph.D., 98 Vas.Sofias Avenue, GR-11528, Greece.
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Abstract

Between October 1987 and October 1993, 92 patients with squamous cell carcinoma of the supraglottis were treated by supraglottic laryngectomy and neck dissection in our department. There were 33 T1, 46 T2, six T3 and seven T4 cases. All patients with N+ necks and T3 or T4 tumours received post-operative radiotherapy (5,000–6,500 cGy). The patients were followed for a minimum of 36 months or until death. The incidence of local recurrence was 7.6 per cent. Neck recurrence was observed in 13 per cent of patients. Decannulation was achieved in 93.4 per cent of the cases with three patients undergoing gastrostomy because of aspiration. The average hospital stay was 26 days. The overall three-year survival was 83.6 per cent, with eight patients dying of unrelated causes. There was a significant difference in recurrence rate between patients in the N0 and the N+ stage.

Keywords

Laryngectomy, supraglotticLaryngeal neoplasms

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 8 , August 1997 , pp. 730 - 734
Copyright
Copyright © JLO (1984) Limited 1997

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References

Bocca, E., Pignataro, O., Oldini, C. (1983) Supraglottic laryngectomy: 30 years of experience. Annals of Otology, Rhinology and Laryngology 92: 14–18.CrossRefGoogle ScholarPubMed
Bernstein, F. D., Calcaterra, T. C. (1985) Supraglottic laryngectomy: series report and analysis of results. Laryngoscope 95: 833–836.Google Scholar
De Santo, L. W. (1985) Cancer of the supraglottic larynx: a review of 260 patients. Otolaryngology – Head and Neck Surgery 93: 705–711.CrossRefGoogle ScholarPubMed
De Santo, L. W., Holt, J. J., Beahrs, O. H., O'Fallon, W. M. (1982) Neck dissection is worthwhile? Laryngoscope 92: 502–509.CrossRefGoogle ScholarPubMed
Gavilan, C., Gavilan, J. (1989) Five year results of FND for cancer of the larynx. Archives of Otolaryngology – Head and Neck Surgery 115: 1193–1196.CrossRefGoogle Scholar
Harwood, A. R., Beale, F. A., Cummings, B. J., Keane, T. J., Payne, D. G., Rider, W. D. (1983) Management of early supraglottic laryngeal carcinoma by irradiation with surgery in reserve. Archives of Otolaryngology 109: 573–585.Google ScholarPubMed
Hernanz, J., Gavilan, J., Martinez-Vidal, J., Gavilan, C. Horizontal supraglottic laryngectomy: modifications to Alonso's technique. Operative Techniques in Otolaryngology – Head Neck Surgery (1993) 4: 252–257.CrossRefGoogle Scholar
Johnson, J. T. (1988) The role of neck and mediastinal dissection. In The Larynx: A Multidisciplinary Approach, 1st edition (Marvin, P. Fried, ed.), Little Brown and Company, Boston, Toronto, pp 543–555.Google Scholar
Lee, N. K., Goeplert, H., Wendt, C. P. (1990) Supraglottic laryngectomy for intermediate stage cancer. UTMD Anderson Cancer Center experience with combined therapy. Laryngoscope 100: 831–836.CrossRefGoogle ScholarPubMed
Levendang, P., Sessions, R., Vikram, B., Strong, E., Shah, J., Spiro, R., Gerold, F. (1989) The problem of neck relapse in early stage supraglottic larynx cancer. Cancer 63: 345–348.3.0.CO;2-5>CrossRefGoogle Scholar
Lutz, C. K., Johnson, J. T., Wagner, R. L., Mayers, E. N. (1990) Supraglottic carcinoma: patterns of recurrence. Annals of Otology, Rhinology and Laryngology 99: 12–17.CrossRefGoogle ScholarPubMed
Marks, J. E., Freeman, R. B., Lee, F., Ogura, J. H. (1979) Carcinoma of the supraglottic larynx. American Journal of Roentgenology 132: 255–260.CrossRefGoogle ScholarPubMed
Nikolaou, A., Danilidis, J., Fountzilas, G., Kouloulas, A., Sombolos, K., Velegrakis, G. (1993) Supraglottic laryngectomy: experience with 66 patients over 20 years. Journal of Laryngology and Otology 107: 813–816.CrossRefGoogle ScholarPubMed
Ogura, J. H., Marks, J. E., Freeman, R. B. (1980) Results of conservation surgery for cancers of the supraglottis and pyriform sinus. Laryngoscope 90: 590–600.CrossRefGoogle ScholarPubMed
Robbins, K. T., Davidson, W., Peters, L. J., Goepfert, H. (1988) Conservation surgery of T2 and T3 carcinomas of the supraglottic larynx. Archives of Otolaryngology – Head and Neck Surgery 114; 421–426.CrossRefGoogle ScholarPubMed
Schuller, D. E., McGuirt, W. F., Krause, C. J., McCabe, B. F., Pflug, B. K. (1979) Increased survival with surgery alone vs combined therapy. Laryngoscope 89: 582–594.CrossRefGoogle ScholarPubMed
Suarez, C., Liorente, J. L., Nunez, F., Diaz, C., Gomez, J. (1993) Neck dissection with or without radiotherapy in supraglottic carcinomas. Otolaryngology–Head and Neck Surgery 109: 3–9.CrossRefGoogle ScholarPubMed