[Long-term follow-up result of partial laryngectomy in senile patients with laryngeal carcinoma].
OBJECTIVE
To study the long-term follow-up result of laryngectomy with reservation of laryngeal function in senile patients.


METHODS
Ninety-nine patients who were above 65 years old and underwent partial laryngectomies from 1986 to 1990 were summarized. Among them, 14 cases underwent vocal cord resection, 31 vertical hemilaryngectomy, 15 horizontal supraglottic hemilaryngectomy, 2 horizontal glottic laryngectomy, 22 horizontovertical (3/4) laryngectomy, 5 subtotal laryngectomy, 10 total laryngectomy with cricopharyngeal anastomosis.


RESULTS
All patients had their phonation and respiration restored. Decannulation rate was 91.9%. No death occurred during the operation. No severe postoperative complications were found. 3.5-year survival rates were 76.7% and 75.5% respectively.


CONCLUSIONS
Senility is not a contraindication for laryngectomy with reservation of laryngeal function. The key points are that surgeons should master indications correctly and improve surgical skill to decrease postoperative complications.
Pan
Z
Z
Department of Otorhinolaryngology, First Affiliated Hospital of China Medical University, Shenyang 110001.
Fei
S
S
Guo
X
X
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D015996:Survival Rate; D016896:Treatment Outcome