[Surgical treatment of laryngeal carcinoma in the elderly over 70].
OBJECTIVE
To explore the possibility and perioperative management of laryngectomy in the elderly over 70.


METHODS
The records of 28 patients of laryngeal carcinoma aged 70 and over treated with laryngectomy were reviewed.


RESULTS
Among the 28 cases, 23 cases (82.1%) had one or more concomitant diseases or laboratory abnormalities. Most of them were cardiovascular disorders (60.7%) and respiratory disorders (25%). Total laryngectomy was performed in 15 cases. Partial laryngectomy was performed in 12 cases. Vocal cardectomy was performed in 1 case. The neck dissection was performed in 3 cases. No operative accident and death had happened in this group. The rate of postoperative complications was 32.1%.


CONCLUSIONS
The elderly over 70 can tolerate laryngeal surgery well if the case is properly selected and careful perioperative management.
Li
X
X
Nangfang Hospital, First Military Medical University, Guangzhou 510515.
Wang
X
X
Huang
Z
Z
Jiang
S
S
Liu
X
X
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007432:Intraoperative Period; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D011300:Preoperative Care; D012189:Retrospective Studies