["Near-total" laryngectomy: functional results].
"Near total" laryngectomy is an alternative to total laryngectomy in some advanced laryngeal tumors. A prospective study was made of the results obtained in 40 patients treated with near total laryngectomy. Speech was achieved in 74.3% of patients within a mean time interval of 63 days. Of the subjects who had more than 5 months of follow-up, 84.6% could speak. Half of the patients who achieved speech used the Barton-Mayo button and did not need to use their hand for phonation. Major swallowing problems were found in 13.9%. The most common complication was pharyngo-cutaneous fistula (58.9%).
Prim Espada
M P
MP
Servicio de ORL, Hospital La Paz, Universidad Autónoma de Madrid.
Rabanal Retolaza
I
I
de Diego Sastre
J I
JI
Gavilán Bouzas
J
J
D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D017577:Cutaneous Fistula / Q000209:etiology; D006801:Humans; D007822:Laryngeal Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy; D007830:Larynx / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D014832:Voice Disorders / Q000209:etiology
Laringuectomía "casi total": resultados funcionales.