title: Post-surgical and oncologic outcomes of frontal anterior laryngectomy with epiglottic reconstruction: a review of 68 cases.
abstract: OBJECTIVE
  To report post-surgical and oncological outcomes of 68 patients treated with frontal anterior laryngectomy with epiglottic reconstruction.
  
  
  METHODS
  Demographic data and all information regarding histopathological grade, initial tumor stage and neck status, follow up time, postoperative complications, nasogastric tube removal time, decannulation time and recurrences were collected from the database and follow-up forms.
  
  
  METHODS
  All patients between 1994 and 2014 who were treated with frontal anterior laryngectomy with epiglottic reconstruction for early glottic carcinoma at Ege University Otolaryngology Clinic were included in the study.
  
  
  METHODS
  Sixty-six of the patients were male and 2 were female with a median age of 57.5 years (IQR 53-63.75, range 44-75). Four patients had a tumor stage of T1a, 43 had T1b and 21 had T2. Median nasogastric tube removal time, decannulation time, overall and disease free survival rates were calculated.
  
  
  RESULTS
  Median nasogastric tube removal time was 10 days. Median decannulation time was 12 days. Median N/G tube removal and decannulation times were higher in T2 patients but this did not reach statistical significance (p>0.05). Median follow-up time was 68.5 months (6-222 months). Five year disease free survival was 93.5%. There were 6 oncologic failures which were salvaged with total laryngectomy, neck dissection and adjuvant radiotherapy.
  
  
  CONCLUSIONS
  According to our results, which is one of the largest reported FAL with epiglottic reconstruction series in the English literature, this procedure's local control and survival rates are high with good functional results.
authors: Otolaryngology Department, Ege University Medical School, Izmir, Turkey.
authors: Serdar
authors: S
authors: Akyildiz
authors: Otolaryngology Department, Ege University Medical School, Izmir, Turkey. Electronic address: drkeremm@yahoo.com.
authors: Kerem
authors: K
authors: Ozturk
authors: Otolaryngology Department, Ege University Medical School, Izmir, Turkey.
authors: Goksel
authors: G
authors: Turhal
authors: Otolaryngology Department, Ege University Medical School, Izmir, Turkey.
authors: Sercan
authors: S
authors: Gode
authors: Otolaryngology Department, Ege University Medical School, Izmir, Turkey.
authors: Tayfun
authors: T
authors: Kirazli
authors: Otolaryngology Department, Ege University Medical School, Izmir, Turkey.
authors: Umit
authors: U
authors: Uluoz
mesh_terms: D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D018572:Disease-Free Survival; D004210:Dissection / Q000379:methods*; D004825:Epiglottis / Q000601:surgery*; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality* / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome