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The oncologic safety and functional preservation of supraglottic partial laryngectomy

Authors
 Je Young Chun  ;  Young Ho Kim  ;  Eun Chang Choi  ;  Hyung Kwon Byeon  ;  Jinsei Jung  ;  Se-Heon Kim 
Citation
 AMERICAN JOURNAL OF OTOLARYNGOLOGY, Vol.31(4) : 246-251, 2010 
Journal Title
 AMERICAN JOURNAL OF OTOLARYNGOLOGY 
ISSN
 0196-0709 
Issue Date
2010
MeSH
Aged ; Deglutition/physiology* ; Fluoroscopy ; Follow-Up Studies ; Glottis/physiopathology ; Humans ; Laryngeal Neoplasms/physiopathology ; Laryngeal Neoplasms/radiotherapy ; Laryngeal Neoplasms/surgery* ; Laryngectomy/methods* ; Middle Aged ; Recovery of Function/physiology* ; Retrospective Studies ; Stroboscopy ; Treatment Outcome ; Video Recording ; Voice Quality/physiology*
Abstract
OBJECTIVE: The purpose of this study was to evaluate the appropriateness of the conservative surgery as the initial treatment of supraglottic cancer by the comparative study of supraglottic partial laryngectomy with radiation therapy. METHODS: We analyzed 48 patients diagnosed as having supraglottic cancer who underwent supraglottic partial laryngectomy and 20 patients treated with radiation therapy as initial treatment from 1991 to 2005. Oncologic safety was evaluated by comparison of survival rates. Swallowing test was performed with videoesophagofluoroscopy under the category of the pharyngeal phase and the presence or absence of aspiration. Phonologic analysis was performed with acoustic waveform analysis and stroboscopy. RESULTS: Positive resection margin was observed in 12 of the patients who received supraglottic partial laryngectomy (SPL), and its relationship with the primary subsite was evaluated. For the patients in stages I and II, the overall survival rate in each of the SPL group and the radiotherapy (RTx) group was 87% and 80%, respectively. For the patients in stages III and IV, the overall survival rate was 87% and 80%, respectively. On evaluation of swallowing and phonation function, no significant difference was noted between the SPL group and the RTx group. CONCLUSION: This study suggests that for patients with supraglottic cancer, SPL provides acceptable survival, swallowing, and phonologic results in comparison with radiation therapy.
Full Text
http://www.sciencedirect.com/science/article/pii/S0196070909000313
DOI
10.1016/j.amjoto.2009.02.007
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Heon(김세헌)
Kim, Young Ho(김영호)
Jung, Jinsei(정진세) ORCID logo https://orcid.org/0000-0003-1906-6969
Choi, Eun Chang(최은창)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101860
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