Near-total laryngectomy. Experience, complications and acoustic analysis

被引：0
|
作者：
de Paula Vernetta, C. [1 ]
de la Fuente Arjona, L. [1 ]
Garcia Callejo, F. J. [1 ]
Ramirez Sabio, J. B. [1 ]
Marco Algarra, J. [1 ]
机构：
[1] Univ Valencia, Hosp Clin, Valencia, Spain
来源：
ACTA OTORRINOLARINGOLOGICA ESPANOLA | 2005年 / 56卷 / 09期
关键词：
Near-total laryngectomy; Acoustic analysis; Laryngeal cancer; Complications;
D O I：
10.1016/S0001-6519(05)78641-6
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Objective: To investigate the oncological efficiency, voice and complications of Pearson's near-total laryngectomy for advanced laryngeal cancers (T3, T4). Material and methods: A retrospective review of 23 cases of near-total laryngectomy (carried out in our Hospital in the last nine years) was undertaken. Results: None of the cases developed laryngeal mucosal recurrences. The overall three and five years disease free survival were 91,3% and 86,9%. Mean phonation time was 51 days. A statistically significant results were observed in our voice analysis (words/minute, Jitter, PPQ, SPPQ, RAP, APQ, SAPQ, Shimmer, HNR, NNE) taking as a reference healthy people (Medivoz). The pharyngeal fistula was the most frequent complication (60,86%). Conclusions: The local control of cancer was similar to that expected with total laryngectomy. Near-total laryngectomy is a valid alternative for extended laryngeal and neighbouring cancers with an acceptable morbidity and success rate for voice preservation.
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页码：423 / 427
页数：5
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