A Clinical Study of the Laryngeal Cancer Patients after Surgery

Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 31(6); 1988 > Article

Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1988;31(6): 968-77.

Dal Won Song, MD, Jae Han Paik, MD, Chan Wook Huh, MD, and Joong Gahng Kim, MD

Department of Otolaryngology, Keimyung University School of Medicine, Korea

외과적 치료를 받은 후두암 환자에 대한 임상적 고찰

송달원 · 백재한 · 허찬욱 · 김중강

계명대학교 의과대학 이비인후과학교실

ABSTRACT

From June, 1984 to Dec, 1986 authors have treated 17 cases of laryngeal cancer by surgical method at the Department of Otolaryngology, Keimyung University Hospital and were analyzed those cases clinically concerning the age and sex, anatomical and histopathological classification, mode of surgical treatment, difference between pre and postoperative TNM staging, postoperative complication and recurrence. The following are the results of our clinical study.

1. Age and Sex	4. Modes of surgical treatment
• Sex- male : 16cases	• total laryngectomy : 15 cases
female : 1 cases	• partial laryngectomy : 2 cases
• Age distribution(28-67 years)	• endoscopic excision: 1 case
3rd decase : 1 case	• unilateral RND : 1 case
5th decade : 1 case	• bilateral FND : 2 cases
6th decade : 7 cases	• PMMC flap : 2 cases
7th decade : 8 cases	5. Difference between preop. and postop. TNM
2. Classifications of anatomic site	staging
• glottic ca : 3 cases	• under staging : 2 cases
• supraglottic ca : 3 cases	over staging : 2 cases
• transglottic ca : 9 cases	6. Postoperative complications
• hypopharynx ca : 2 cases	• wound infection and pharyngocutaneous
3. Histopathologic classifications	fistula : 3 cases
• squamous cell ca : 15 cases	• stomal stenosis : 4cases
• carcinosarcoma : 1 case
• verrucous ca : 1 case
7. Recurrence or distant metastasis
• stomal recurrence : 1 case
• local recurrence : 1 case
• distant metastasis : 0 case