Survival and follow-up of patients undergoing partial laryngeal surgery
Abstract
Introduction: Head and neck cancer constitutes 3.8% of malignant neoplasms and 2.3% of cancer deaths; most common between the sixth and seventh decade of life. Laryngeal cancer is the most common non-cutaneous malignant tumor (30-40%) among head and neck tumors and the second most common cancer of the respiratory system; shows a male/female ratio of up to 10:1, which has reduced with the increase in smoking in women. Partial laryngectomy and radiotherapy are effective therapeutic methods in the treatment of patients with early laryngeal cancer, comparable in survival rates and laryngeal preservation.
Objective: To evaluate the survival and follow-up of patients who received partial laryngeal surgery as the treatment of choice for tumor persistence or recurrence in two hospitals in the province of Camagüey, Cuba.
Methods: The universe was made up of patients with laryngeal cancer who attended the consultations and the sample at the authors' discretion was made up of 70 patients who received surgical treatment. The following variables were considered: age, sex, topographic location of the tumor, partial surgical technique performed and survival time of the patients.
Results: In the sample studied, 100% of the patients were male, between 51 and 60 years of age and with carcinomas in a glottic - supraglottic location. The most used surgical technique was subtotal laryngectomy with cricohyoidopexy without epigotoplasty. During the collection of information in consultation for the follow-up of the patients, the majority were alive.
Conclusions: The treated patients were male, fifth and sixth decades of life. Glottic-supraglottic topographic location predominated and the most frequently performed surgical technique was subtotal laryngectomy with cricohyoidopexy without epigotoplasty. At the end of the study, most of the patients in both groups showed good quality of life and social integration.
DeCS: HEAD AND NECK NEOPLASMS; LARYNGECTOMY; SURVIVORSHIP; NEOPLASMS; LARYNGEAL NEOPLASMS.
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