[The extended indications of near-total laryngectomy].
OBJECTIVE
To evaluate near-total laryngectomy in treatment of laryngeal cancers.


METHODS
Fifty-seven near-total laryngectomies were reviewed, among them 40 were T3 or T4 laryngeal cancers due to tumor invasion to the base of tongue or subglottic region.


RESULTS
In these patients, there were 11 cases of T3 pyriform sinus cancers, 5 cervical esophageal cancers, 1 case with adenoid cystic carcinoma involving the base of the tongue and oropharynx. Speech function had been preserved in 93% of cases with normal swallowing. Three year survival rates were 67.5% in laryngeal cancer and 50% in hypopharyngeal cancer. Local recurrence rate was only 3.5%.


CONCLUSIONS
The authors believed that near-total laryngectomy is safe and beneficial to the patients with the above types of cancers. The quality of life may improve if speech function is preserved.
Tang
P
P
Department of Head and Neck Surgery, Cancer Hospital, Chinese Academy of Medical Science, Peking Union Medical University, Beijing 100021.
Tu
G
G
Qi
Y
Y
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D015996:Survival Rate