Surgical treatment of laryngeal cancer

Abstract

From March 1974 to December 1982, 186 patients with laryngeal cancer were treated by operation alone in our hospital. In this series, the average age was 56.5 years. The sex ratio of male and female was 2.9:1. Total laryngectomy comprised 42%, partial laryngectomy 20.4% and postlaryngectomy reconstruction 37.6%. The 3 and 5 year survival rates were 75% and 74% for glottic cancer, 67% and 61% for supraglottic cancer, 67% and 67% for infraglottic cancer, 70% and 38% for transglottic cancer. The authors believe that, at present, operation is the main method of treatment. For early laryngeal cancer, partial laryngectomy is indicated for better postoperative functions in addition to higher survival rate. In advanced laryngeal cancer, total laryngectomy and other radical operation as well as combined therapy are advocated.