Result of surgically treated laryngeal cancer patients

Objective: Laryngeal cancers are an important cause of morbitity and mortality among head and neck malignant neoplasms. Patients whom underwent surgery because of laryngeal cancer are analysed and compared in terms of age, gender, histopathologic diagnosis, localization, surgical aproach and treatment outcomes. Material and Methods: 324 patients with laryngeal cancer were included in this study. A through history was taken, complete otolaryngologic examination was made, neck CT scan and chest X-ray graphics were performed. By means of microlaryngoscopic examination histopathologic diagnosis was made before the operation. Tumor localization was clarified as clinically and radiologically and TNM classification was made. Total or partial laryngectomy and neck dissection was performed. 150 patients used radiotherapy postoperatively. Results: As clinical and radiological patient numbers and rates of T1, T2, T3 and T4 were identified as 18 (5.5%), 90 (27.8%), 171 (52.8%) and 45 (13.9%) respectively. Patient numbers and rates whom underwent total larengectomy and partial larengectomy were 228 (70.4%) and 96 (29.6%) respectively. Neck dissection did not performed to 24 (7.4%) patients; but, a unilateral and bilateral neck dissection was performed to 219 (67.6%) and 81 (25%) patients respectively. Local control rates for patients T1, T2, T3 and T4 were obtained 95%, 86%, 78% and 52% respectively. Conclusion: Surgery takes an important place in treatment of laryngeal cancers and neck dissection is supplementary for local control.