Conservation surgery of laryngeal function for laryngeal carcinoma in patients aged 70 years and over
- VernacularTitle:70岁及以上喉癌患者的喉功能保全手术治疗
- Author:
Song DAI
;
Xinghe SUN
;
Hui LV
- Publication Type:Journal Article
- Keywords:
Laryngeal neoplasms;
Laryngectomy
- From:
Chinese Journal of Geriatrics
2008;27(9):674-675
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the therapeutic effects of conservation surgery of laryngeal function for larygeal carcinoma in patients aged 70 years and over. Methods 136 patients aged 70 years and over were collected. Among them, 34 cases underwent vocal cord resection, 28 vertical hemilaryngectomy, 24 horizontal supraglottic hemilaryngectomy, 15 horizontovertical (3/4)laryngectomy, 29 subtotal laryngectomy, 6 total laryngectomy with cricopharyngeal anastomosis.Tissue defects were repaired by use of cervical myocutaneous flap in patients of T3-4 tumor stage. After operation, a special pneumatoeeles was attached on the tracheal cannula when eating.Results All patients had their phonation restored in a week. 92 cases were decannulated. 45 cases had cough and then were improved after respiration training and one case was in failure. No death occurred in the perioperative period. The survival rates were 78.7% at 3 years and 68.5% at 5 years.Conclusions Laryngectomy with reservation of laryngeal function is feasible in senile patients aged 70 years and over under conditions of correct indication, right choice of operation and thoroughly care during perioperative.
