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 |