[Subtotal laryngectomy with cricohyoidopexy. Carcinologic results and early functional follow-up. Apropos of 49 cases].
Forty-three patients underwent a subtotal laryngectomy with cricohyoidopexy and neck dissection. The 5 years overall survival rate was 67%, the actuarial survival rate was 75%. The 5-year actuarial local control and nodal control rate were namely 89% and 90%. Pronostic factors for survival were tumor size (5-year actuarial survival rate for T2a, T2b and T3 were namely 89%, 72%, 48%) and node involvement (5 years actuarial survival rate was 85% if N-, and 46% if N+). The median duration was 22 days for decanulation, 30 days for removing the feeding tube. The median hospital discharge day was 38. Total laryngectomy was performed in one case (2.3%) for persistent aspiration. Post operative mortality was 0%. The most common complication was aspiration pneumoniae (11.6% of the cases).
Maurice
N
N
Service d'Oto-rhino-laryngologie, Hôpital St-Charles, Montpellier.
Crampette
L
L
Mondain
M
M
Guerrier
B
B
D000328:Adult; D000368:Aged; D003413:Cricoid Cartilage / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D006928:Hyoid Bone / Q000601:surgery*; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods* / Q000401:mortality; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009333:Neck; D009367:Neoplasm Staging; D015996:Survival Rate
Laryngectomie sub-totale reconstructive avec cricohyoïdopexie résultats carcinologiques et suites fonctionnelles précoces. A propos de 43 cas.