Limited surgery for cancer of the larynx and hypopharynx: options and consequences.

Limited surgery for cancer of the larynx and hypopharynx: options and consequences. Research Abstract Details 

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Limited surgery for cancer of the larynx and hypopharynx: options and consequences. Abstract Text:

Meijin Nakayama,Hiroomi Takahashi,Kazuo Yao,Katsuhide Inagi,Tomohiro Makoshi,Hiromi Nagai,Makito Okamoto,

We reviewed surgical options for laryngeal preservation (limited surgery) in laryngeal and hypopharyngeal cancers and the consequences of the options. Of 44 patients with laryngeal cancer, 11 (25%) received limited surgery and 33 (75%) received total laryngectomy. The survival rates were 91% for the limited surgery group and 73% for the total (radical) surgery group. Of 31 patients with hypopharyngeal cancer, 7 (23%) received limited surgery and 24 (77%) received total laryngopharyngectomy. The survival rates were 53% for the limited surgery group and 40% for the total (radical) surgery group. The survival rates associated with limited surgery were thus better than those for total (radical) surgery for cancers of both the larynx and hypopharynx. This was attributed to the limited surgery group comprising well-selected patients with confined lesions. Organ preservation surgery should be technically simple, reliable in terms of its functional impact and, above all, should not jeopardize the patient's survival. Supracricoid subtotal laryngectomy with cricohyoidoepiglottopexy or cricohyoido-pexy has great potential for laryngeal preservation and will become the major limited surgery modality for treating cancer of the larynx. Limited surgery, however, needs to be performed with great care and is indicated only for very well-selected patients with cancer of the hypopharynx.

Limited surgery for cancer of the larynx and hypopharynx: options and consequences. Publishing Authors By Initials

M Nakayama,H Takahashi,K Yao,K Inagi,T Makoshi,H Nagai,M Okamoto,

For similar investigative techniques: epidemiologic methods: data collection: vital statistics: mortality: survival rate research abstracts see: investigative techniques: epidemiologic methods: data collection: vital statistics: mortality: survival rate research

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Limited surgery for cancer of the larynx and hypopharynx: options and consequences. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Acta oto-laryngologica. Supplementum

VOLUME:

Page Numbers: 41-5

Journal Abbreviation:

ISSN: 0365-5237

DAY: 13

MONTH: 02

YEAR: 2002

Limited surgery for cancer of the larynx and hypopharynx: options and consequences. Information

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LANGUAGE: eng

NlmUniqueID: 370355

Limited surgery for cancer of the larynx and hypopharynx: options and consequences. Keywords Mesh Terms:

KEYWORDS: Survival Rate

MESH TERMS: statistics & numerical data

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Grant and Affiliation Information for Limited surgery for cancer of the larynx and hypopharynx: options and consequences.

AFFILIATION: Department of Otorhinolaryngology, Kitasato University, School of Medicine, Kanagawa, Japan. meijin@med.kitasato-u.ac.jp

Country: Norway

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MEDLINETA: Acta Otolaryngol Suppl

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