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Title of Journal: Eur Arch Otorhinolaryngol

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Abbravation: European Archives of Oto-Rhino-Laryngology

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Springer-Verlag

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DOI

10.1007/bf01340930

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ISSN

1434-4726

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Supraglottic laryngectomy analysis of 267 cases

Authors: Maria Agustina Sevilla Juan Pablo Rodrigo José Luis Llorente Rubén Cabanillas Fernando López Carlos Suárez
Publish Date: 2007/08/08
Volume: 265, Issue: 1, Pages: 11-16
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Abstract

Horizontal supraglottic laryngectomy HSL allows the preservation of a functioning larynx and avoids permanent tracheotomy In this retrospective study we report our experience with HSL and describe the functional and oncological results of the procedure A total of 267 previously untreated patients with squamous cell carcinoma of the supraglottis underwent a supraglottic laryngectomy at our Department from January 1978 to May 2002 The main outcome measures were local and regional control diseasespecific survival and laryngeal preservation rate The overall recurrence rate was 29 78/267 The local recurrence rate was 8 22 patients and the regional recurrence rate was 17 45 patients The 5year diseasespecific survival rate was 73 The 5year laryngeal preservation rate was 82 Multivariate analysis showed two parameters that were independent predictors of a reduced disease specific survival cervical lymph node metastases of class N3 P = 00003 and primary tumour classified as T4 P = 0004 HSL provided in our experience an optimal locoregional oncological control for laryngeal preservation

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