Ana Sayfa » Yayın Arşivi » Türk Otolarengoloji Arşivi » 1989 » Hemilarinjektomi Vertikal Total (HVT) ve Larinjektomi Horizonto-Vertikal (LVH) Endikasyon ve Sonuçları
 

Hemilarinjektomi Vertikal Total (HVT) ve Larinjektomi Horizonto-Vertikal (LVH) Endikasyon ve Sonuçları

Cevanşir B., Akmandil A., Başarer N., Yazıcıoğlu E., Biliciler N., Özturan O., Gülle A.

Türkçe Özet Yoktur.

Vertical Hemilaryngectomy (VHL) and Horozionto-Vertical Laryngectomy (HVL): Indications and Results

Cevanşir B., Akmandil A., Başarer N., Yazıcıoğlu E., Biliciler N., Özturan O., Gülle A.

Cevanşir et al. have performed 541 partial laryngectomy between 1964 and 1987 years. Supraglottic tumors mustn’t invade vocal cords for supraglottic laryngectomy. Downward submucosal extension should be checked at lower margins of resection. In case of lingual involment 1.5 cm of normal tissue should be included in specimen. The thyroid cartilage mustn’t be involved. Vertical hemilaryngectomy can succeed in resection of larger tumors when a laryngostoma is suitable for T2 and T3 supraglottic and transglottic tumors, T4 tumors in which medial wall of sinus pyriformis is involved. Even an arytenoid and vocalcord can be left in situ with this technic. After supraglottic laryngectomy 3 and 5 years of survival rates are 74% and 69 respectively. 5 years of survival rate in partial laryngectomy with open technique is about 57%. Horizonto-Verticallaryngectomy allowed us to attain 5 years of survival rate as 62%. In N0, N1, N2 and N3, 3 years of survival rate are 70%, 55, 40 and zero respectively. We are in need of special techniques to extend resection limits in laryngeal conservation surgery. There will always be imaginative surgeons who are aware of historical development of laryngeal surgery.

Türk Otolarengoloji Arşivi 27(2)/121-122

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