Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-13T01:37:30.986Z Has data issue: false hasContentIssue false

A view of partial laryngectomy in the treatment of laryngeal cancer

Published online by Cambridge University Press:  29 June 2007

H. J. Shaw*
Affiliation:
London
*
Mr. H. J. Shaw, M.A., F.R.C.S., Consultant Surgeon (Head & Neck/ENT), The Royal Marsden Hospital, Fulham Road, London SW3 6JJ.

Abstract

Attention is drawn to the problems of surgical resection by partial laryngectomy after full therapeutic dosage of telecobalt irradiation. Material is presented from two treatment centres to indicate trends in surgical treatment and the complications experienced. Results will be given which confirm a reasonable expectation of cure and functional conservation by vertical partial laryngectomy for recurrence of glottic cancer after irradiation. The results of treatment of recurrent supraglottic cancer by horizontal partial laryngectomy gave more cause for concern in terms of complications and survival. In conclusion an attempt is made, based on the quoted experience, to define the position of conservation surgery in two centres for laryngeal cancer in the United Kingdom.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1987

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Biller, H. F., Barnhill, F. R., Ogura, J. H. and Perez, C. A. (1970) Hemilaryngectomy following radiation failure. Laryngoscope, 80: 249253.CrossRefGoogle ScholarPubMed
Bocca, E., Pignataro, O. and Masciaro, O. (1968) Supraglottic surgery of the larynx, Annals of Otolaryngology, 11: 10051026.Google Scholar
Bocca, E., Ogura, J. H., Som, M. L. and Stell, P. M (1974) Limitations of supraglottic laryngectomy and conservative neck disection. In Centennial Conference on Laryngeal Cancer, Workshop No 6, p. 395, Toronto.Google Scholar
Bocca, E. (1975) Supraglottic cancer. Laryngoscope, 85: 13181326.CrossRefGoogle ScholarPubMed
Bocca, E., Pignataro, O. and Oldini, C. (1983) Supraglottic laryngectomy: 30 years experience. Annals of Otology, Rhinology and Laryngology, 92: 1418.CrossRefGoogle Scholar
Cachin, Y. (1976) Personal communication.Google Scholar
Duncan, W. and Dalby, J. E. (1962) The treatment of carcinoma of the epiglottis by irradiation. Journal of Laryngology and Otology, 76: 539548.CrossRefGoogle ScholarPubMed
Ellis, P. D. M. (1922) Conservation laryngectomy after radiotherapy, Journal of Laryngology and Otology, 91: 209215.CrossRefGoogle Scholar
Guerrier, Y., Pinel, J. and Cachin, Y. (1972) La chirurgie conservatrice dans le traitment des cancers du vestibule larynge et du sinus piriforme. Arnett, Paris.Google Scholar
Guerrier, Y. and Jazouli, N. (1984) Vertical partial laryngectomy—Results of functional partial laryngectomy in conservation surgery for carcinoma of the larynx. Eds. Wigand, M. E.Steiner, W.Stell, P. M.Springer Verlag. Berlin, Heidelberg, pp. 145149.CrossRefGoogle Scholar
Harwood, A. R. (1982) Cancer of the Larynx—the Toronto experience. Journal of Otolaryngology, 11, Supplement No 11: 121.Google ScholarPubMed
Lederman, M. (1970) Radiotherapy of cancer of the larynx. Journal of Laryngology and Otology, 84: 867896.CrossRefGoogle ScholarPubMed
Leroux-Robert, J. (1961) Indications et resultats après 5 ans de la chirurgie conservatrice fonctionelle des cancers du larynx et du l'hypopharynx, Abstracts of Seventh International Congress ORL Paris, p. 44.Google Scholar
Murray, G. M. (1976) Pulmonary complications following supraglottic laryngectomy. Clinical Otolaryngology, 1: 241247.CrossRefGoogle ScholarPubMed
Neel, H. B., Devine, K. D. and DeSanto, L. W. (1980) Laryngofissure and cordectomy for early cordal carcinoma: Outcome in 182 patients. Otolaryngology, Head & Neck Surgery, 88: 7984.CrossRefGoogle ScholarPubMed
Ogura, J. H. and Mallen, R. W. (1967) Conservation surgery for cancer of the epiglottis and hypopharynx. In Cancer of the Head and Neck, p. 407, ed. Conley, J, Butterworths, Washington.Google Scholar
Ogura, J. H. and Biller, H. F. (1970) Pre-operative irradiation for laryngeal and laryngopharyngeal cancers. Laryngoscope, 80: 802810.CrossRefGoogle ScholarPubMed
Ogura, J. H., Sessions, D. G. and Spector, G. J. (1975) Conservation surgery for epidermoid carcinoma of the supraglottic larynx. Laryngoscope, 85: 18081815.CrossRefGoogle ScholarPubMed
Oloffson, J., Williams, G. T., Bryce, D. P. and Rider, W. D. (1972) Radiotherapy versus conservation surgery in the treatment of selected supraglottic carcinomas. Archives of Otolaryngology, 95: 240244.CrossRefGoogle Scholar
Shaw, H. J. (1966) Partial laryngectomy. Journal of Laryngology and Otology, 80: 839850.CrossRefGoogle ScholarPubMed
Som, M. L. (1970) Conservation surgery for carcinoma of the supraglottis. Journal of Laryngology and Otology, 84: 655678.CrossRefGoogle ScholarPubMed
Stell, P. M. (1977) Proceedings of the Royal Society of Medicine, 70: 780.Google Scholar
Stell, P. M. and Dalby, J. F. (1985) The treatment of early (T1) glottic and supraglottic carcinoma: does partial laryngectomy have a place? In Press.Google Scholar
Thames Cancer Registry (1985) Personal communication.Google Scholar