Experience of using horizontal access in laryngectomy. Evaluation of clinical results

Abstract

Introduction. For now surgery is a key element in the treatment of advanced laryngeal cancer due to the most radical resection. Although, the incidence of complications in the form of pharyngocutaneous fistula is high, which leads to unsatisfactory functional and aesthetic results, increased treatment duration and cost.The study objective is to improve the method for radical surgical treatment in patients with laryngeal cancer, to assess its impact on the frequency of postoperative complications.Materials and methods. Our experience is based on the performed laryngectomy in 124 patients since 2009 to 2017. Laryngectomy was performed in 85 (68.5 %) patients, combined laryngectomy – in 17 (13.7 %) and extended combined laryngectomy – in 22 (17.8 %) patients.Results. The developed approach method for surgical treatment of malignant laryngeal tumors allowed to avoid formation of pharyngocutaneous fistula and wound complications in postoperative period, and to achieve high functional and aesthetic results, decrease duration of inpatient care.Conclusion. New treatment method provides favourable conditions for social, labor, medical rehabilitation of patients and allows to reduce treatment duration and cost.

Keywords

• laryngectomy
• horizontal approach
• pharyngocutaneous fistula
• quality of life