Cordectomy by laryngofissure. Review of the period 1978-1998
Márquez Moyano, J.A.; Sánchez Gutiérrez, R.; Mohamed Youssef, A.S.; Roldán Nogueras, J.; Ostos Aumente, P.; López Villarejo, P.
Acta Otorrinolaringologica Espanola 55(4): 177-181
2004
ISSN/ISBN: 0001-6519 PMID: 15359664 Document Number: 581932
The early glottic carcinoma can be approached by different therapeutic options. We analyze the results obtained by means of cordectomy opened up by laryngofissure. We design a descriptive retrospective study including 75 patients with glottic carcinoma T1N0M0 handled by means of cordectomy by laryngofissure (72 males and 3 females). The anaesthetic technique was locoregional and sedation. Tumor T1a, 62 patients (82.66%); T1b, 13 patients (17.33%). The specific survival rate at three, five and ten years was 100, 96.8 and 85.2% respectively; the global survival was 98.66, 90.47 and 52.17% respectively to three, five and ten years. There were ten recurrences (13.3%). Following treatment, 50% of the relapsed patients died. The probability of survival free of illness to three, five and ten years was considered in 0.9322, 0.9172 and 0.7093 respectively. This technique means good control of the illness and technical easiness. When doing it without a tracheostomy it is tolerated better and it generates lower costs per patient.