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  • Title: [The extended indications of near-total laryngectomy].
    Author: Tang P, Tu G, Qi Y.
    Journal: Zhonghua Er Bi Yan Hou Ke Za Zhi; 1998 Jun; 33(3):175-7. PubMed ID: 11717912.
    Abstract:
    OBJECTIVE: To evaluate near-total laryngectomy in treatment of laryngeal cancers. METHODS: Fifty-seven near-total laryngectomies were reviewed, among them 40 were T3 or T4 laryngeal cancers due to tumor invasion to the base of tongue or subglottic region. RESULTS: In these patients, there were 11 cases of T3 pyriform sinus cancers, 5 cervical esophageal cancers, 1 case with adenoid cystic carcinoma involving the base of the tongue and oropharynx. Speech function had been preserved in 93% of cases with normal swallowing. Three year survival rates were 67.5% in laryngeal cancer and 50% in hypopharyngeal cancer. Local recurrence rate was only 3.5%. CONCLUSION: The authors believed that near-total laryngectomy is safe and beneficial to the patients with the above types of cancers. The quality of life may improve if speech function is preserved.
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