Laryngeal radiation after hemilaryngectomy.
Laryngoscope
; 90(9): 1534-9, 1980 Sep.
Article
em En
| MEDLINE
| ID: mdl-7401854
ABSTRACT
Laryngeal radiation was administered to 30 patients after hemilaryngectomy for true vocal cord carcinoma at Washington University Medical Center during the years 1957-1976. Twelve patients were irradiated at the time of gross recurrence and 5/12 (42%) of these patients had recurrence of their disease after radiation. Eighteen patients were irradiated immediately after hemilaryngectomy because positive margins were seen in the hemilaryngectomy specimen and 5/18 (28%) of these had recurrence. All but 1 recurrence occurred within 13 months following radiation. Total laryngectomy salvaged an additional 3 patients for ultimate cancer control in 23/30 (77%). This high dose laryngeal irradiation was well tolerated. A major complication occurred in 1 patient (3%) and consisted of permanent laryngeal edema necessitating tracheostomy but permitting useful speech. Mild complications occurred in 5 patients.
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Base de dados:
MEDLINE
Assunto principal:
Prega Vocal
/
Carcinoma de Células Escamosas
/
Neoplasias Laríngeas
/
Laringectomia
/
Laringe
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
1980
Tipo de documento:
Article