[Cancers of the larynx: what therapeutic strategy to use in Senegal?].
The technical method's deficiency limits the respect of therapeutic principles of cervico-facial oncology in our practice. In a period of 16 years, 116 patients, aged of 24 to 81 years, sex male in a majority have had laryngectomy for extended cancer. In 88% of cases total laryngectomy has been realized and in 12% of cases a partial laryngectomy has been realized. In 101 patients, 87%, a neck dissection have been associated to the laryngectomy. The post operative radiotherapy have been realized in 51 patients. The immediate results are marked by the unexpected arrival of pharyngeal fistula in 34 patients. 7 cases of death have been noticed. The global survival have been 35% in 3 years and 30% in 5 years. The fatal cases have been loco-regional cases and occur during the 18 first months. The surgery option, which is our choice, must be maintained and the neck dissection more vigorous.
Diouf
R
R
Service d'O.R.L. et de Chirurgie Cervico-Faciale du CHU de Dakar, Sénégal.
Diallo
B K
BK
Tall
A
A
Ndiaye
I C
IC
Kpemissi
E
E
Dangou
J M
JM
Diop
E M
EM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D003906:Developing Countries; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods / Q000706:statistics & numerical data*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D009364:Neoplasm Recurrence, Local / Q000401:mortality; D011183:Postoperative Complications / Q000453:epidemiology; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies; D012675:Senegal; D015996:Survival Rate; D014140:Tracheotomy