Conservation surgery for recurrent carcinoma of the glottic larynx Conference Paper


Authors: Lydiatt, W. M.; Shah, J. P.; Lydiatt, K. M.
Title: Conservation surgery for recurrent carcinoma of the glottic larynx
Conference Title: 4th International Conference on Head and Neck Cancer
Abstract: BACKGROUND: Partial laryngectomy following previous irradiation is an oncologically sound procedure with excellent local control and survival rates. Several reports suggest an increased complication rate in previously irradiated patients. METHODS: To analyze whether previous irradiation affected complications, disease control, or survival we performed a retrospective analysis of all patients who underwent vertical partial laryngectomy (VPL) for squamous cell carcinoma of the giottic larynx between January 1984 and August 1993. RESULTS: Sixty-eight patients had adequate followup. The overall 5-year survival rates were 79% for previously treated patients and 95% for primary VPL patients (P = NS). The local control rates with surgical salvage were 93% and 98%, respectively. No increase in wound complications, time to decannulation, length of hospitalization, or ability to swallow were found. CONCLUSIONS: VPL can be performed safely in selected patients following previous radiotherapy without a significant increase in complications or cost.
Keywords: adult; cancer survival; aged; aged, 80 and over; middle aged; survival rate; retrospective studies; major clinical study; cancer recurrence; laryngectomy; squamous cell carcinoma; carcinoma, squamous cell; laryngeal neoplasms; conference paper; cancer radiotherapy; neoplasm recurrence, local; health care cost; hospitalization; cancer control; larynx cancer; glottis; humans; human; male; female; priority journal
Journal Title American Journal of Surgery
Volume: 172
Issue: 6
Conference Dates: 1996 Jul 28-Aug 1
Conference Location: Toronto, Canada
ISBN: 0002-9610
Publisher: Elsevier Inc.  
Date Published: 1996-12-01
Start Page: 662
End Page: 664
Language: English
DOI: 10.1016/s0002-9610(96)00292-9
PUBMED: 8988672
PROVIDER: scopus
DOI/URL:
Notes: Conference Paper -- Export Date: 22 November 2017 -- Source: Scopus
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  1. Jatin P Shah
    722 Shah
  2. William M. Lydiatt
    11 Lydiatt