[Cordectomy by laryngofissure. Review of the period 1978-1998].
OBJECTIVE
The early glottic carcinoma can be approached by different therapeutic options. We analyze the results obtained by means of cordectomy opened up by laryngofissure.


METHODS
We design a descriptive retrospective study including 75 patients with glottic carcinoma T1N0M0 handled by means of cordectomy by laryngofissure (72 males and 3 females). The anaesthetic technique was locoregional and sedation. Tumor T1a, 62 patients (82.66%); T1b, 13 patients (17.33%).


RESULTS
The specific survival rate at three, five and ten years was 100, 96.8 and 85.2% respectively; the global survival was 98.66, 90.47 and 52.17% respectively to three, five and ten years. There were ten recurrences (13.3%). Following treatment, 50% of the relapsed patients died. The probability of survival free of illness to three, five and ten years was considered in 0.9322, 0.9172 and 0.7093 respectively.


CONCLUSIONS
This technique means good control of the illness and technical easiness. When doing it without a tracheostomy it is tolerated better and it generates lower costs per patient.
Márquez Moyano
J A
JA
Servicio de Otorrinolaringología, Hospital Universitario Reina Sofía, Córdoba. marquezmoyano@terra.es
Sánchez Gutiérrez
R
R
Mohamed Youssef
A S
AS
Roldán Nogueras
J
J
Ostos Aumente
P
P
López Villarejo
P
P
D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate; D014827:Vocal Cords / Q000473:pathology / Q000601:surgery*