Salvage resection after previous laryngeal surgery: Total laryngectomy with en bloc resection of the overlying cervical skin

Andrea Gallo, Rossana Moi, Marilia Simonelli, Domenico Vitolo, Maria Luisa Fiorella, Vincenzo Marvaso, Valentina Manciocco, Marco De Vincentiis

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Abstract

Objective: To evaluate the effectiveness of extended total laryngectomy for the treatment of recurrences of laryngeal cancer. Design: We conducted a retrospective clinical study of patients who had undergone extended total laryngectomy and were seen over a 15-year period. The follow-up period ranged from 3 to 15 years. Setting: Academic tertiary referral medical center. Patients: We observed 15 patients who were affected by a recurrence of laryngeal cancer that extended to the overlying soft tissue. All patients were male. The mean age was 61.5 years. Thirteen patients had previously undergone partial laryngeal surgery, and 2 patients had undergone radiation therapy, without success. Intervention: All patients underwent total laryngectomy extending to the soft tissue, including the overlying skin. Results: Five of the 15 patients died of local recurrence, and 1 patient died of massive postoperative hemorrhaging. An actuarial survival rate of 60% was observed at 5 years. Conclusion: Total laryngectomy extending to the soft tissues seems to be an effective procedure for treating local recurrences of laryngeal cancer after partial laryngectomy or failure of radiation therapy.

Original languageEnglish
Pages (from-to)786-789
Number of pages4
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume127
Issue number7
Publication statusPublished - 2001

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ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Gallo, A., Moi, R., Simonelli, M., Vitolo, D., Fiorella, M. L., Marvaso, V., Manciocco, V., & De Vincentiis, M. (2001). Salvage resection after previous laryngeal surgery: Total laryngectomy with en bloc resection of the overlying cervical skin. Archives of Otolaryngology - Head and Neck Surgery, 127(7), 786-789.