Laringectomia parcial por via externa no tratamento do cancro laríngeo – Ainda fará sentido?
DOI:
https://doi.org/10.34631/sporl.88Palavras-chave:
Laringectomia parcial por via externa, resultados oncológicos, resultados funcionaisResumo
Introdução: O tratamento do cancro da laringe pretende
controlar a doença e preservar simultaneamente a estrutura e
funções laríngeas. O propósito do nosso estudo foi determinar
se a laringectomia parcial por via externa mantém o seu lugar
no panorama actual do tratamento do cancro da laringe.
Desenho do estudo: Os doentes submetidos a cirurgia parcial
laríngea por via aberta no IPO Porto foram estudados relativo
ao período compreendido entre o dia 1 de Janeiro de 1998 e o
dia 31 de Dezembro de 2010.
Materiais e métodos: Os processos clínicos foram revistos,
à procura de aspectos oncológicos e funcionais. As taxas de
sobrevivência foram calculadas através do método de Kaplan-
Meier.
Resultados: Os resultados oncológicos e funcionais dos
nossos doentes estão de acordo com os resultados favoráveis
registados noutros centros.
Conclusão: O tratamento do cancro da laringe deve ser
individualizado de acordo com factores relacionados com
o tumor, o doente e o cirurgião. A laringectomia parcial por
via externa permite em casos seleccionados alcançar bons
resultados funcionais sem negligenciar o prognóstico dos
doentes com tumores da laringe.
Referências
– Jessup JM, Steele GD, Winchester DP: National cancer data base annual review of patient care 1995, American Cancer Society, Atlanta, 1995.
– Mc Gravan MH, Bauer WC, Ogura JH: The incidence of cervical lymph node metastases from epidermoid carcinoma of the larynx and their relationship to certain characteristics of the primary tumor,
Cancer.1961; 14:55.
- Myers EN, Alvi A: Management of carcinoma of the supraglottic larynx: evolution, current concepts, and future trends, Laryngoscope.1996; 106:559.
– Biller HF: Hemilaryngectomy following radiation failure for carcinoma of the vocal cords, Laryngoscope.1970; 80:249.
– DeSanto LW: Surgical salvage after radiation for laryngeal cancer, Laryngoscope.1976; 86:649.
– Lavey RS, Calcaterra TC: Partial laryngectomy for glottis cancer after high-dose radiotherapy, Am J Surg.1991; 162:341.
– Shaw HJ: Role of partial laryngectomy after irradiation in the treatment of laryngeal cancer: a view from the United Kingdom, Ann Otol Rhinol Laryngol.1991; 100:268.
– Laccourreye O: Supracricoid partial laryngectomy after failed laryngeal radiation therapy, Laryngoscope.1996; 106:495.
– Skolnik EM: Radiation failures in cancer of the larynx, Ann Otol Rhinol Laryngol.1975; 84:804.
– Lam KH: Extralaryngeal spread of cancer of the larynx: a study with whole-organ sections, Head Neck Surg.1983; 5:410.
– Bailey B, Calcaterra TC: Vertical, subtotal laryngectomy and laryngoplasty, Arch Otolaryngol.1971; 93:232.
– Maurice N: Subtotal laryngectomy with cricohyoidopexy. Carcinologic results and early functional follow-up. Apropos of 49 cases, Ann Otolaryngol Chir Cervicofac.1994; 111:435.
– Piquet JJ: La chirurgie reconstructive du larynx résultats carcinolologiques et fonctionnels, JFORL.1984; 33:215.
– Laccourreye: Vertical partial laryngectomy: a critical analysis of local recurrence, Ann Otol Rhinol Laryngol.1991; 100:68.
– Kirchner J, Som ML: The anterior commissure technique of partial laryngectomy: clinical and laboratory observations, Laryngoscope.1975; 85:1308.
– Spaulding CA: Partial laryngectomy and radiotherapy for supraglottic cancer: a conservative approach, Ann Otol Rhinol Laryngol.1988; 98:125.
– Alajmo E: Conservation surgery for cancer of the larynx in the elderly, Laryngoscope.1985; 95:203.
– Bocca E: Extended supraglottic laryngectomy. Review of 84 cases, Ann Otol Rhinol Laryngol.1987; 96:384.
– Burstein FD, Calcaterra TC: Supraglottic laryngectomy: series report and analysis of results, Laryngoscope.1985; 95:833.
– Lee NK: Supraglottic laryngectomy for intermediate-stage cancer: U.T. MD Anderson Cancer Center experience with combined therapy, Laryngoscope.1990; 100:831.
– Herranz-Gonzales J: Supraglottic laryngectomy: functional and oncologic results, Ann Otol Rhinol Laryngol.1996; 105:18.
– Mittal B, Marks JE, Ogura JH: Transglottic carcinoma, Cancer.1984; 53:151.
– Flores TC: Factors in successful deglutition following supraglottic laryngeal surgery, Ann Otol Rhinol Laryngol.1982; 91:579.
– Rademaker AW: Recovery of postoperative swallowing in patients undergoing partial laryngectomy, Head Neck.1993; 15:325.
–Hirano M: Deglutition following supraglottic horizontal laryngectomy, Ann Otol Rhinol Laryngol.1987; 96:7.
