Surgery in elderly patients with head and neck cancer.

概要

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Nineteen patients over 70 years of age (13 men, 6 women) with head and neck cancer treated at the University of Occupational and Environmental Health were analyzed retrospectively. The primary site was in the larynx in 9 patients, in the paranasal sinuses in 4 patients, in the hypopharynx in 2 patients, and in the epipharynx, tongue, mouth floor and thyroid in 1 patient each. Seven of these patients underwent surgical resection: 3 total laryngectomies, 1 total maxillectomy, 1 hemiglossectomy with neck dissection, 1 Denker's operation and 1 pharyngolaryngoesophagectomy with neck dissection and reconstruction of the carotid artery. Eleven patients had associated illnesses. Hypertension and cardiac disease were most frequent. Postoperatively 1 patient developed cardiac failure and wound slough; he was discharged without any complications. The other patient who underwent pharyngolaryngoesophagectomy with reconstruction of the carotid artery died of cerebral herniation on the day following the operation. Even elderly patients should receive surgery, if it is indicated, but careful pre-, intra-, and postoperative management is always mandatory.
耳鼻咽喉科臨床学会の論文