Laringuectomía casi total. Experiencia, complicaciones y análisis de voz

Abstract

ObjectiveTo investigate the oncological efficiency, voice and complications of Pearson´s near-total laryngectomy for advanced laryngeal cancers (T3, T4). Materials and MethodsA retrospective review of 23 cases of near-total laryngectomy (carried out in our Hospital in the last nine years) was undertaken. ResultsNone of the cases developed laryngeal mucosal recurrences. The overall three and five years disease free survival were 91,3% and 86,9%. Mean phonation time was 51 days. A statistically significant results were observed in our voice analysis (words/minute, Jitter, PPQ, SPPQ, RAP, APQ, SAPQ, Shimmer, HNR, NNE) taking as a reference healthy people (Medivoz). The pharyngeal fistula was the most frequent complication (60,86%). ConclusionsThe local control of cancer was similar to that expected with total laryngectomy. Near-total laryngectomy is a valid alternative for extended laryngeal and neighbouring cancers with an acceptable morbidity and success rate for voice preservation.