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العنوان
Outcomes of partial laryngectomy after irradiation failure /
المؤلف
Moussa, Mohammed Abd Elmateen.
هيئة الاعداد
باحث / محمد عبدالمتين موسي
مشرف / محمد عبدالقادر احمد
مشرف / بدوي شحات بدوي
مشرف / ابراهيم رزق محمد
مناقش / محمود محمد راغب الشريف
مناقش / حسين فريد وشاحي
الموضوع
Laryngeal Neoplasms surgery. Laryngectomy.
تاريخ النشر
2017.
عدد الصفحات
75 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الحنجرة
تاريخ الإجازة
29/4/2017
مكان الإجازة
جامعة سوهاج - كلية الطب - انف واذن وحنجرة
الفهرس
Only 14 pages are availabe for public view

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Abstract

There are several recommendations that we can make based on the current study. It is
evident that open partial laryngectomy for recurrences using any appropriate technique,
including VPL or HPL, produces repeatable outcomes for achieving a cure and local
control. These results should encourage more centers to offer open partial laryngectomy
rather than total laryngectomy to carefully selected patients. It must be noted that this is a
selected group of patients with very few recurrences classified as T3 and T4, and care
should be taken not to extrapolate the results to all recurrences.
We recommend that, when reporting the results from partial laryngectomy, future studies
should ensure comprehensive reporting of the following outcomes: local control, diseasefree survival, overall survival, performance status, comorbidity status, decannulation rate,
and proportion of patients who require further treatment for laryngeal stenosis, time taken
for oral intake, and pretreatment and post-treatment voice and swallowing subjective
measures. Clearly, further studies are needed to document functional outcomes after this
procedure.
In conclusion, partial laryngectomy procedures appear to be effective for the treatment of
recurrent laryngeal cancer. However, it should be noted that most of the evidence available
is for earlier stage lesions (T1/T2), thus highlighting the selected nature of this group of
patients and the importance of correct selection. When partial laryngectomy is undertaken,
both vertical and supracricoid laryngectomy procedures appear to be effective.