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


METHODS
Twelve patients who were above 65 years old and underwent near-total laryngectomy from 1990 to 1996 were summarized. Twelve patients with quamous cell carcinoma of larynx were conformed. We adopted and improved Parson's operation, remained normal side cricoid cartilage plate, cricoarytenoid joint and recurrent laryngeal nerve.


RESULTS
Three year and five year survival rates were 75.0% and 66.7% respectively. All patients had good swallowing founction in two weeks after operation. Ten patients obtained good speech function.


CONCLUSIONS
The authors believed that near total laryngectomy was safe and beneficial to senile patients with laryngeal cancers who suffered from foundermental disease in heart, lung or brain.
Qi
Jianwei
J
Department of Otolaryngology-Head and Neck Surgery, First Affiliated Hospital of Nanjing Medical University, Nanjing 210006.
Fang
Ruping
R
Wang
Changkuan
C
Chen
Rongrong
R
D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods; D008297:Male; D015996:Survival Rate; D016896:Treatment Outcome