국소 진행 후두암에서 보존적 후두적출술의 역할

주영훈; 선동일; 김청수; 조광재; 조승호; 김민식

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자료유형: 학술저널

저자정보: 주영훈 선동일 김청수 조광재 조승호 김민식

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제10호

발행연도: 2007.1

수록면: 924 - 928 (5page)

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연구주제

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연구배경

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연구방법

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연구결과

초록· 키워드

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Background and Objectives：Supracricoid partial laryngectomy (SCPL) and supraglottic partial laryngectomy (SPL) are con-al cancer. The purpose of this study is to research oncological and functional results to know the eficacy and safety of SCPL and SPL in localy advanced laryngeal cancer. Subjects and Method：We retrospectively reviewed the medical records of 76 patients with locally advanced squamous cell carcinoma of larynx from March 1993 to May 2006, who underwent SCPL (N=64), SPL (N=8), extened supraglottic laryngectomy (ESPL)(N=4)oncological safety and decannulation, oral feding, voice analysis to evaluate preservation of laryngeal function. Results：Seventy three patients had over 12 months folow up. In the oncologic aspect, the overall recurrence rate was 23.2% (17/73), but for the surgery only group, it was 18% (7/38). In the advanced T stage, the recurence rate was increased without significant dif-ference;achieved at the mean postoperative period of 23.0 days and oral diet was achieved for all patients starting at mean postoperative period 28.3 days. In the voice analysis, SCPL showed somewhat unsatisfactory results compared with SPL, but it allowed social interaction by maintaining fundamental frequency. Conclusion：The oncologic aspect of both SCPL and SPL showed that they are efective methods in treating locally advanced laryngeal cancer. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 : 924-8)

#후두암·후두적출술·기관보존. #Laryngeal neoplasms· Laryngectomy· Organ preservation.

참고문헌 (15)

참고문헌 신청

/ / Deglutition following supraglottic horizontal laryngectomy : 1 7 ~ 1

/ / Factors in successful deglutition folowing supraglotic laryngeal surgery : 6 579 ~ 83

/ / Prognostic factors in T2 glottic cancer : 991 ~ 5

/ / Supracricoid laryngectomy with cricohyoidoepiglottopexy A partial laryngeal procedure for glotic carcinoma : 6 421 ~ 6

/ 1947 / Conservative surgery of cancer of the larynx 51 : 633 ~ 42

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