Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Is Salvage Vertical Partial Laryngectomy Safe in Patients with Radiation-Failure Carcinoma of the Glottic Larynx?

방사선치료 실패 후의 수직부분후두절제술은 안전한가?

  • Lim Young-Chang (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Lim Jeong-Taek (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Kang Joo-Wan (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Choi Hyun-Seung (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Song Mee-Hyun (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Kim Min-Byum (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Choi Eun-Chang (Department of Otorhinolaryngology, Yonsei University College of Medicine)
  • 임영창 (연세대학교 의과대학 이비인후과학교실) ;
  • 임정택 (연세대학교 의과대학 이비인후과학교실) ;
  • 강주완 (연세대학교 의과대학 이비인후과학교실) ;
  • 최현승 (연세대학교 의과대학 이비인후과학교실) ;
  • 송미현 (연세대학교 의과대학 이비인후과학교실) ;
  • 김민범 (연세대학교 의과대학 이비인후과학교실) ;
  • 최은창 (연세대학교 의과대학 이비인후과학교실)
  • Published : 2003.05.01
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Abstract

Objectives: Radiotherapy is an effective treatment in the initial management of T1 glottic carcinoma, but local recurrent or residual tumor growth is found in approximately 10% of the patients. Even in recurrence or residual tumor, in highly selected cases, conservation surgery with preservation of a portion of the larynx is feasible. So we investigated the efficacy of salvage vertical partial laryngectomy for recurrent glottic carcinoma after irradiation. Material and Methods: Retrospectively we reviewed a consecutive series of 10 patients treated by conservative vertical partial laryngectomy of the larynx for radiation-failure, recurrent T1 glottic squamous cell carcinoma treated at Severance Hospital from 1994 to 2002. Results: Local recurrence developed in 4 patients (40%). Two patient was salvaged by further totallaryngectomy. Successful salvage was achieved finally in 8 (80%) of the 10 patients. There was no operative mortality. Postoperative perichondritis was developed in two patients. One was resolved by conservative treatment, but the other has underwent the total laryngectomy. Conclusion: A vertical partial laryngectomy in case of recurrent glottic carcinoma after a course of irridation should be the therapy of choice when stringent criteria are observed.

Keywords

References

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