Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Clinical Analysis of Laryngectomized Patients

후두전적출술 52 례에 대한 임상통계학적 고찰

  • Wang Soo-Geun (Department of Otolaryngology, College of Medicine, Pusan National University) ;
  • Chon Kyong-Myong (Department of Otolaryngology, College of Medicine, Pusan National University) ;
  • Lee Jong-Dam (Department of Otolaryngology, College of Medicine, Pusan National University)
  • 왕수건 (부산대학교 의과대학 이비인후과학교실) ;
  • 전경명 (부산대학교 의과대학 이비인후과학교실) ;
  • 이종담 (부산대학교 의과대학 이비인후과학교실)
  • Published : 1987.09.01
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Abstract

A retrospective investigation of 52 cases of carcinoma of the larynx, who underwent total laryngectomy $\bar{c}\;or\;\bar{s}$ neck dissection at Pusan National University Hospital from 1978 to 1985, was performed. The results obtained were as follows: 1) There were 32 glottic(62.7%), 18 supraglottic(35.3%) and 1 subglottic(2.0%) carcinoma. 2) In stage grouping, stage ill was the most(64.7%) and then stage II, stage IV, stage I in order. 3) Overall rate of cervical metastasis was 29.4%. In glottic carcinoma, 0% of $T_1,\;40%\;of\;T_2,\;18%\;of\;T_3\;and\;25%\;of\;T_4$. In supraglottic carcinoma, there was 0% of $T_1,\;29%\;of\;T_2,\;56%\;of\;T_3\;and\;50%\;of\;T_4$. 4) The incidence of postoperative complication was 31.4% and stomal stenosis was the most(13.7%) 5) There were 8 cases of local recurrence and 3 cases of distant metastasis(2 cases in lung, 1 case in esophagus) among 40 cases which were able to follow up. 6) 3 year estimated survival rate for glottic and supraglottic carcinoma were 73.3 % and 85.7% respectively.

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