The glottic–subglottic laryngectomy: Surgical technique, oncological, and functional outcomes
| Autor: | Andy Bertolin, Marco Lionello, Guido Ghirardo, Maria Baldovin, Giuseppe Rizzotto |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Glottis medicine.medical_specialty medicine.medical_treatment Laryngectomy Metastasis Young Adult Carcinosarcoma Carcinoma Humans Medicine Laryngeal Neoplasms Pathological Aged Retrospective Studies business.industry Cancer Chemoradiotherapy General Medicine Middle Aged medicine.disease Surgery stomatognathic diseases Oncology Otorhinolaryngology Carcinoma Squamous Cell Female Neoplasm Recurrence Local Chondrosarcoma business |
| Zdroj: | Journal of Surgical Oncology. 125:145-150 |
| ISSN: | 1096-9098 0022-4790 |
| DOI: | 10.1002/jso.26675 |
| Popis: | Objectives The aim of this article was to describe the surgical technique and report the oncological and functional outcomes of the partial glottic-subglottic laryngectomy (GSL). Methods A retrospective review of the clinical charts of patients who underwent GSL for laryngeal cancer from 1989 to 2020 at the Otolaryngology Unit of the Vittorio Veneto Hospital, a referral center for laryngeal cancer treatment. Results The present article considered 36 patients who were submitted to GSL for laryngeal cancer. The pathological exam found squamous cell carcinoma (SCC) in 16 cases, adenoid-cystic carcinoma (ACC) in 9 cases, laryngeal chondrosarcoma in 8 cases, 1 giant cell carcinoma, 1 carcinosarcoma, and 1 metastasis of colon adenocarcinoma. Considering the 16 SCC cases we observed a recurrence rate of 31%, the overall survival (OS) and disease-specific survival (DSS) were 75%. The 9 ACC cases had a recurrence rate of 23% and OS/DSS of 88%. In the 8 chondrosarcomas no relapses were reported and the OS/DSS were 100%. Among the patients without recurrence of the disease, a definitive decannulation was achieved in 21 cases (75%). Conclusions The GSL represents a valid alternative to total laryngectomy in selected cases of laryngeal cancer involving the glottic and subglottic regions. |
| Databáze: | OpenAIRE |
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