[Partial surgery for glottal carcinoma. Therapeutic approach and outcome].
Partial laryngectomy for glottic carcinoma. The authors report their first results on 63 patients who underwent a partial laryngectomy for glottic carcinoma from 1980 to 1986. The global three years survival rate is 70%. The selected operations are the cordectomy, the fronto-lateral laryngectomy according to Leroux-Robert, the reconstructive near total laryngectomy according to Tucker, the reconstructive subtotal laryngectomy according to Majer-Piquet and Labayle. On the occasion of this paper, a scale is presented for the appreciation of the obtained functional results as for the three laryngeal functions: the breathing, the swallowing and the phonation. The mean time before the tracheal tube removal indicating the recovery of these three functions ranges from 5 days for the cordectomy which is the simplest operation to 38 days for the reconstructive subtotal laryngectomy according to Labayle which is the heaviest. Only one serious post-operative complication is noted for the 63 patients. It is a death following a coma after laryngeal oedema. A partial laryngectomy is possible after radiotherapy provided the rules according to Biller and Croll were respected.
Remacle
M
M
Service O.R.L. et Chirurgie Cervico-faciale, Université de Louvain, Cliniques Universitaires de Mont-Godinne et de Woluwe.
Hamoir
M
M
Garnir
J J
JJ
Van den Eeckhaut
J
J
D000328:Adult; D000368:Aged; D003679:Deglutition; D005260:Female; D005500:Follow-Up Studies; D005931:Glottis; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods* / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D010699:Phonation; D012119:Respiration
La chirurgie partielle des cancers glottiques. Attitudes thérapeutiques et résultats.