Acessibilidade / Reportar erro

Oncologic results of the partial laryngectomy for early glottic carcinoma

Introduction: The squamous cell carcinoma of the larynx is the sixth most common neoplasia, being the the second neoplasia of the head and neck, immediately after oral cancer. Depending of the stage of lesion, extension of the cancer at diagnosis, there is a quite favorable long term prognosis, with global survival rate for 5 years of 65%-70%. Aim: Evaluation of the results after partial laringectomy for early glottic squamous cell carcinoma. Study design: Clinical retrospective. Material and Method: Retrospective analysis of the 59 patients' handbook was accomplished submitted to the partial laringectomy. There were excluded patients with previous treatment, tumor extension larger than 10 mm below the glottis, lesions with macroscopicextension for vestibular folds and lesions with decrease of the mobility vocal cords laryngoscopy and follow-up of 36 months or more. Results: 12 patients (20,3%) presented recurrence, being 1 a regional recurrence (1,7%) and 11 local recurrences (18,6%), with surgical rescue (total laringectomy) and oncologic control in 75% of those cases. Severe complications (glottic stenosis and aspiration) happened in only 2 patients (3,4%). Conclusions: The partial laringectomy is safe and an effective procedure for the treatment of majority of early glottic carcinoma. In addition, for its versatility, check safety in the oncologic radically and make possible, also, the functional readaptation for the patient

glottic carcinoma; partial laryngectomy; results


ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial Av. Indianápolis, 740, 04062-001 São Paulo SP - Brazil, Tel./Fax: (55 11) 5052-9515 - São Paulo - SP - Brazil
E-mail: revista@aborlccf.org.br