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Objectives: To assess the oncologic results of frontolateral
laryngectomy operation in early stage glottic cancers.
Methods: Twenty-seven patients who underwent frontolateral
laryngectomy in our institute between the years of 2001-2005 were
retrospectively analyzed by using patient’s data and follow-up charts.
All the patients were male with the average age of 54.6 (40-73). All the
patients were evaluated with preoperative rigid endoscopy, head and neck
examination, computerized tomography, direct laryngoscopy using a
surgical microscope and biopsies. 22 patients (81.5%) were T1a, 5
patients (18.5%) were T1b stage. None of the patients had received any
preoperative radiotherapy and no local or distant metastases have been
detected clinically and radiographically (N0M0). Patients were followed
at first, third and sixth months and once a year postoperatively. During
the follow-up period, in case of suspected lesions, rebiopsies were
taken and direct laryngoscopies were performed.
Results: Total laryngectomy was performed in 3 (11%) patients
because of local recurrence. 13 (48.1%) patients had more than 5-years
survival time and 14 (51.8%) patients had 3-5 years survival during
their follow-up period. Decanulation time was between postoperative 2nd
and 15th days (average 7.1 day), oral nutrition was started at 3rd to
19th days (average 8.4 day) and duration of hospitalization was 4 to 27
days (average 14 days). Some complications have emerged in 8 (29.6%)
patients postoperatively and 2 (7.4%) patients underwent urgent
tracheotomy because of laryngeal abscess.
Conclusion: Frontolateral laryngectomy is a safe surgical
operation in respect to oncologic results in early stage glottic
cancers. |
