Erdinç AYGENÇ, Serdar ÇELİKKANAT, Cem ÖZBEK, Hüseyin DERE, Cafer ÖZDEM

Suprakrikoid parsiyel larenjektomi sonrası fonksiyonel sonuçlar

Amaç: Suprakrikoid parsiyel larenjektomi SKPL uygulanan hastalarda fonksiyonel sonuçları değerlendirdik.Hastalar ve Yöntemler: İleri evre larenks kanseritanısıyla SKPL uygulanan 20 erkek hasta prospektif olarak incelendi.Hastaların yaflı, tıbbi durumları, uygulanan rekonstrüksiyon teknikleri ve aritenoid kıkırdak rezeksiyonu,dekanülasyon zamanı, ağızdan beslenmeye geçiflzamanı, kilo değiflimi ve ameliyat sonrası komplikasyonlar arasında iliflki arafltırıldı. Ortalama takip süresi 20.9 ay dağılım 7-39 ay idi.Bulgular: Hastaların tamamı ortalama 19.9 gün içinde dekanüle edildi. Ameliyat sonrası altıncı aydahastaların %85’inde kilo kaybı ve aspirasyon olmaksızın yutma fonksiyonları normale döndü. Ağızdanbeslenmeye geçifl süresi ortalama 39.7 gün bulundu. Ameliyat sonrası dönemde sosyal iliflki kurabilecek düzeyde ses kalitesi sağlandı.Sonuç: Elde edilen fonksiyonel sonuçlar, diğer parsiyel larenjektomi tekniklerinin endikasyonlarınıaflan larenjeal tümörlerde, SKPL’nin total larenjektomiye alternatif olabileceğini desteklemektedir

Anahtar Kelimeler:

Karsinom, skuamöz hücreli/cerrahi, krikoid kartilaj/cerrahi, yutma, epiglottis/cerrahi, gastrostomi, glottis, hyoid kemiği/cerrahi, larenjeal neoplazmlar/cerrahi/radyoterapi, larenjektomi/yöntem, larenks/cerrahi, trakeostomi, tedavi sonucu

Functional outcomes after supracricoid partial laryngectomy

Objectives: We evaluated functional outcomes in patients undergoing supracricoid partial laryngecto my SCPL .Patients and Methods: The study included 20 male patients mean age 61.5 years; range 43 to 76 years who undervvent SCPL for advanced laryngeal carcino- ma. Correlations were sought between variables age, medical history, reconstruction techniques such as cricohyoidopexy or cricohyoidoepiglottopexy, arytenoid resection and decannulation time, duration for oral feeding, weight change, and complications. The mean follow-up was 20.9 months range 7 to 39 months .Results: Ali patients were decannulated in a mean of 19.9 days. Eighty-five percent of patients achieved normal deglutition without aspiration or weight loss within six months postoperatively. The nasogastric feeding tube was removed in a mean of 39.7 days. Voice quality of patients was sufficient for their social Communications.Conclusion: Our functional results suggest that SCPL is an alternative technique to total laryngecto my in patients in whom other partial laryngectomy techniques are not considered.

Keywords:

Carcinoma, squamous cell/surgery, cricoid cartilage/surgery, deglutition, epiglottis/surgery, gastrostomy, glottis, hyoid bone/surgery, laryngeal neoplasms/surgery/ radiotherapy, laryngectomy/methods, larynx/surgery, tracheostomy, treatment outcome,

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