title: [Near-total laryngectomy: multicenter experience].
abstract: Near-total laryngectomy (NTL) produces good functional and oncological results that are reproducible in different institutions. It is an alternative to total laryngectomy in patients with laryngeal or hypopharyngeal tumors who meet selected criteria. This study analyzed 245 patients treated with NTL in three different institutions. Functional and oncological results were remarkably consistent between the institutions. Local control in previously untreated patients was 98%. A useful voice was obtained in 80% of patients and voice quality was better than that obtained with tracheoesophageal puncture and a voice prosthesis. NTL was not recommended for salvage surgery after radiation failure because recurrences occur in up to 20% of patients.
authors.affiliation: Servicio de ORL, Hospital Juan Canalejo, La Coruña, España.
authors.forename: J
authors.initials: J
authors.lastname: Herranz González-Botas
authors.forename: J
authors.initials: J
authors.lastname: Gavilán Buzas
authors.forename: K
authors.initials: K
authors.lastname: Olsen
mesh_terms: D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery*; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D016896:Treatment Outcome
vernacular_title: Laringuectomía casi-total: experiencia multicéntrica1.