OBJECTIVES To determine whether postoperative complication rates and speech outcomes differ between patients undergoing primary versus secondary tracheoesophageal puncture following total laryngectomy with free flap reconstruction. STUDY DESIGN Retrospective clinical study in a tertiary academic center. METHODS Between November 2004 and June 2010, 137 patients underwent total laryngectomy o...

OBJECTIVE To evaluate our experience in management of radiotherapy failure using endoscopic resection (ER) with carbon dioxide laser, open-neck partial laryngectomy (ONPL), and total laryngectomy. DESIGN Retrospective medical record review. SETTING Referral university hospital. PATIENTS Seventy-one patients with laryngeal cancer previously treated with radiotherapy (69 patients) and chemo...

OBJECTIVES The time to begin oral feeding after total laryngectomy remains a subject of debate among head and neck surgeons. The prevailing assumption is that early initiation of oral feeding may cause pharyngocutaneous fistula; thus, the common practice of initiating oral feeding after a period of 7 to 10 days. The objective of the study was to demonstrate the feasibility and safety of oral fe...

evaluation of voice quality parameters of esophageal speech in different neoglottis forms after total laryngectomy. methods: presentation of voice analysis of 20 patients, who underwent total laryngectomy. the success of acquiring this technique was estimated by means of a voice analyzing program (pitch, sound-holding, loudness, spectrogram), and by the intelligibility via the telephone. shape ...

intra-operative management of thyroid gland in laryngeal cancer is controversial. to determine the rate of thyroid involvement in patients with laryngeal cancer treated by radical surgical excision, we reviewed the records during 1996-2000 in imam khomeini hospital, cancer institute, and amir alam hospital.we studied several factors such as age, gender, and tumor location, presence of thyroid i...

Laryngeal cancer is one of the most common cancers in head and neck region. In advanced stage total laryngectomy an option treatment, еspecially cases failure organ-preservation therapy. our practice always performed with dissection.

INTRODUCTION  Total laryngectomy creates deglutition disorders and causes a decrease in quality of life Aim: To describe the impact of swallowing and quality of life of patients after total laryngectomy. METHOD  A case series study. Patients completed a Swallowing and Quality of Life questionnaire composed of 44 questions assessing 11 domains related to quality of life (burden, eating duratio...

BACKGROUND In T4a laryngeal cancer with thyroid cartilage invasion, no optimal frontline treatment has yet been defined in controlled trials. METHODS We reviewed data from 89 patients with T4a laryngeal cancer featuring thyroid cartilage invasion who were treated initially with either total laryngectomy (n = 53) or a larynx-preservation strategy (n = 36). RESULTS The median progression-free...

BACKGROUND Recurrence is common after total laryngectomy for advanced laryngeal carcinoma. The aim of the present study was to review the prognosis of recurrent laryngeal carcinoma after total laryngectomy. METHODS The records of 165 patients who developed recurrences after total laryngectomy for laryngeal squamous cell carcinoma between January 1971 and December 1990 were reviewed. RESULTS...

BACKGROUND The pharyngocutaneous fistulae is troublesome and the most common complication following total laryngectomy. Our objective was to determine the incidence of pharingocutaneous fistulae after the total laryngectomy in our serie and to make review of the medical literature. METHODS We made a retrospective study of a serie of 81 consecutive cases of laryngeal carcinoma treated between ...