LARYNGEAL CANCER SURGICAL RESULTS; 10 YEARS OF EXPERIENCE

Abstract

OBJECTIVE: In this study, it was aimed to present the patients who underwent open laryngectomy in a tertiary otolaryngology clinic with current literature information in terms of age, gender, first symptom and duration, histopathological diagnosis, localization of the primary disease, neck condition, and our surgical treatment approach and results. MATERIAL AND METHODS: In this study, the retrospective analysis of the files of 70 patients who underwent open surgical treatment for laryngeal cancer between 2011 and 2021 in a tertiary otorhinolaryngology clinic is discussed. RESULTS: Of our laryngeal cancer cases, 68 (97.1%) were male, 2 (2.9%) were female, and their mean age was 64.9 (48-89 years). Thirty-four (48.57%) of our cases were glottic, 23 (32.9%) supraglottic, and 11 (15.7%) transglottic. There were 2 (2.85%) cases with isolated subglottic locations. Total laryngectomy was performed in 38 (54.3%) cases and partial laryngectomy was performed in 32 (45.7%) cases. Vertical laryngectomy in 1 (1.42%) of patients, subtotal laryngectomy in 1 (1.42%), frontolateral laryngectomy in 6 (8.57%), supraglottic horizontal laryngectomy in 10 (14.28%), supracricoid in 14 (20%) patients laryngectomy was performed. As a histopathological diagnosis; 3 (4.2%) cases of baso-squamous carcinoma, and the remaining 67 (95.8%) cases were squamous cell carcinoma. CONCLUSIONS: Surgery has an important place in the treatment of laryngeal cancers and neck dissection is complementary to regional control. Occult metastases in the cervical region cannot be determined using noninvasive methods, neck dissection is required to identify them. Detailed histopathological evaluation of lymph nodes removed during neck dissection is currently the most reliable method available for accurate diagnosis of lymph nodes.