Objectives: We reviewed preoperative, perioperative,
and postoperative findings and the survival data
to determine which patients may be appropriate for
Patients and Methods: We reviewed hospital
records of 20 patients (all males; mean age 56.6
years; range 35 to 73 years) who underwent neartotal
laryngectomy. Indications for patient selection
for near-total laryngectomy and survival data were
evaluated in comparison with literature reports.
Results: The site of the tumor was the sinus pyriformis
in two, and the larynx in 18 patients. Thirteen patients
had T3, seven patients had T2 tumors. The lesions
were localized in the sinus pyriformis in two patients
with T2 tumors. The locoregional control rate at the end
of two years was 75%; two- and three-year survival
rates were 81.2% and 64.2%, respectively.
Conclusion: Following a detailed and meticulous
investigation in the preoperative period, near-total laryngectomy
seems to be appropriate in selected patients
with advanced laryngeal and hypopharyngeal tumors in
which partial laryngectomy procedures are not considered.
It may both provide cure and preserve phonation.
It may also be considered for functional purposes in
patients whose pulmonary functions are insufficient for
partial laryngectomy, in those in whom food aspiration is
inevitable after partial laryngectomy, and in those suffering
from lifelong food aspiration due to neurologic causes,
and for oncologic reasons in patients who develop
local recurrences after partial laryngectomy.
FREE FULL TEXTAnahtar Kelimeler: Larenjeal neoplazmlar/cerrahi; larenjektomi/yöntem; larenks/cerrahi; neoplazm rekürensi, lokal;hasta seçimi; sağkalğm oranı.