Chordektomia wewnętrzna i zewnętrzna poprzez rozszczepienie krtani i zastosowaniem lasera CO2
Journal Title: Otolaryngologia Polska - Year 2014, Vol 68, Issue 6
Abstract
Introduction: The aim of this work was to evaluate the therapy results of patients with glottic carcinoma in the T1NoMo advanced clinical stage on internal or external chordectomy via the thyroid cartilage with the use of CO2 laser. Material and methods: The study was conducted in 110 patients, including 7 women aged 52–68 and 103 men aged 52–73, who were treated in the Department of Otolaryngology and Laryngological Oncology, Military Medical Academy Teaching Hospital in Lodz, during the years 2010–2012, due to laryngeal carcinoma (T1N0M0). Results: The studied material was subjected to external chordectomy via laryngofissure in 51 men (46.4%), and internal chordectomy with the use of CO2 laser in 52 men (47.2%) and 7 women (6.4%). In the patients operated via laryngofissure, the following types of external chordectomy were performed: IV – in 25 cases (49.0%), Vc – in 12 cases (23.6%), and Vb and Vd – in 7 cases each (13.7% each). Internal chordectomy was conducted with the use of the following types: III – in 31 cases (52.5%), IV – in 15 cases (25.4%) and Vd – in 13 cases (22.1%). During the post-operative follow-up of 1–3 years, no recurrence of carcinoma was observed. Conclusions: The place and size of carcinoma are often dependent on the type of internal and external chordectomy, which is preceded by tracheotomy and is usually dependent on a patient's consent. Too short post-operative follow-up does not allow for the comparison of effective therapies of the two surgical methods.
Authors and Affiliations
Jarosław Miłoński, Krzysztof Kuśmierczyk, Piotr Pietkiewicz, Joanna Urbaniak, Jurek Olszewski
Keywords
Related Articles
- EP ID EP52562
- DOI -
- Views 88
- Downloads 0
Routine follow-up in patients treated of head and neck cancer
SUMMARY Objective: to evaluate the usefulness of routine follow-up in group of patients with head and neck cancer and to present the recommended schedule taking into consideration the oncological safety and costefectivne...
Chirurgiczna rehabilitacja głosu chorych po laryngektomii całkowitej z zastosowaniem systemu Provox
The aim of study. Comparison the voice quality of patients after total laryngectomy using the Provox 2 voice prosthesis and patients with esophageal speech and to discuss difficulties and complications related with its i...
Usefulness of high frequency audiometry (HFA) in qualifi cations person to work in noise on high intensity
Analiza ekspresji JAKI, STAT3, STAT1 i SOCS1 w jednojądrzastych komórkach krwi obwodowej u chorych z rakiem krtani
SUMMARY Aim: The aim of this study was to assess the expression of SOCS1-STAT mo-lecules pathway in peripheral blood mononuclear cells and to evaluate their correlations with invasiveness of the tumor and the secretion o...
The role of pepsin in the laryngopharyngeal reflux
Laryngopharyngeal reflux (LPR) is a common defect among laryngological and phoniatric patients. Although LPR is categorized as a superficial gastroesophageal reflux disease (GERD), differential diagnosis should treat the...