2000 Volume 12 Issue 2 Pages 100-103
83 patients with laryngeal carcinoma received total laryngectomy at our clinic between 1988 and 1997. 50 were primary cases and the other 33 were secondary cases. 33 had supraglottic cancer, 48 had glottic cancer and 2 had subglottic cancer.
Of the 50 primary cases, 18 had died; 12 from primary cancer and the other 6 from other causes. Of the 33 secondary cases, 8 had died; 3 from primary cancer and the other 5 from other causes. Among 15 patients who died from the primary cancer, 2 died from local recurrences, 8 died from cervical lymphonodes metastasis, and 5 died from distant metastasis.
The most important factors for improving the prognosis after total laryngectomy are to control neck and distant metastasis.
