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Oral Presentations: American Head and Neck Society
August 2006

S104 Salvage Surgery After Radiotherapy for Laryngeal Cancer: From Endoscopic Resections to Partial and Total Laryngectomies

Arch Otolaryngol Head Neck Surg. 2006;132(8):861-862. doi:10.1001/archotol.132.8.861-c

Objective: To evaluate our experience in management of laryngeal cancer after radiotherapy failure by endoscopic resections and partial and total laryngectomies.

Design: Retrospective study.

Setting: University hospital.

Patients: Between 1995 and 2004, 71 patients with recurrent laryngeal cancer after radiotherapy were managed by salvage surgery.

Interventions: Our treatment policy encompassed endoscopic resection for glottic rT1a, rT1b with limited anterior commissure involvement, and rT2 with normal mobility (group A, 22 patients). Supracricoid partial laryngectomies were performed for rT1 and rT2 with suboptimal endoscopic exposure, for rT2 with impaired mobility and/or transcommissural extension, and for rT3 for limited paraglottic space invasion or involvement of the inner portion of the thyroid (group B, 15 patients). Total laryngectomy was planned in patients not suitable for partial laryngectomy for general conditions, for rT3 with massive involvement of the paraglottic space, and for rT4 (group C, 34 patients).

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