Total Laryngectomy; 25 Cases.
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概要
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A clinical study was conducted of 25 patients who underwent total laryngectomy in our hospital from 1987 to 1990.1) Of these 25 patients, 18 had laryngeal cancer, 3 had esophageal cancer, 3 had cancer of the hypopharynx and 1 had thyroid cancer.2) The primary diagnosis in 8 of the 18 patients with laryngeal cancer was T1 or T2, and these patients underwent total laryngectomy for surgical salvage because of initial radiation failure.3) Recurrence rates after initial radiation were 10.5% for T1 glottic cancer.4) Patterns of failure after total laryngectomy for laryngeal cancer were stomal recurrence in 3 patients, neck metastasis in 2 patients and distant metastasis in 1 patient.5) The patients with esophageal (IuIm) and thyroid cancer had total laryngectomy because of paratracheal invasion.6) A simple objective evaluation of esophageal voice is described in this paper.
- 耳鼻咽喉科臨床学会の論文
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