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Horizontal glottectomy: functional and oncological results

Published online by Cambridge University Press:  29 June 2007

Xavier Carrat ,
Jean-Marc Francois ,
François Devars ,
Dominique Carles  and
Louis Traissac
Xavier Carrat*
Affiliation:
Department of Otorhmolaryngology – Head and Neck Surgery, Hôpital Pellegrin, University of Bordeaux II, Bordeaux, France.
Jean-Marc Francois
Affiliation:
Department of Otorhmolaryngology – Head and Neck Surgery, Hôpital Pellegrin, University of Bordeaux II, Bordeaux, France.
François Devars
Affiliation:
Department of Otorhmolaryngology – Head and Neck Surgery, Hôpital Pellegrin, University of Bordeaux II, Bordeaux, France.
Dominique Carles
Affiliation:
Department of Otorhmolaryngology – Head and Neck Surgery, Hôpital Pellegrin, University of Bordeaux II, Bordeaux, France.
Louis Traissac
Affiliation:
Department of Otorhmolaryngology – Head and Neck Surgery, Hôpital Pellegrin, University of Bordeaux II, Bordeaux, France.
*
Address for correspondence: Xavier Carrat, M.D., Service ORL 11A2, Hôpital Pellegrin, Place Amélie Raba Léon, Bordeaux 33076, France.
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Abstract

The authors report on their experience with 25 cases of horizontal glottectomy and discuss the functional and oncological results of this operation. Indications for this procedure are Tia and Tib glottic carcinomas. The overall three-year and five-year survival was respectively 94 and 88 per cent. Distant metastasis appears to be the major long-term failure, three patients dying of lung carcinoma. Short functional rehabilitation was observed in all cases. Decannulation was achieved in 100 per cent of the cases and none of our patients had laryngeal stenosis. The average time of removal of the nasogastric tube was 11.8 days. Because of its high local control and reduced functional after effects, horizontal glottectomy appears to be a reliable and safe procedure for limited glottic carcinomas and must be included in their therapeutic management.

Keywords

Laryngeal neoplasmsGlottis, Surgery, operativeLaryngectomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 9 , September 1997 , pp. 833 - 838
Copyright
Copyright © JLO (1984) Limited 1997

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