[Laryngectomy-still state of the art?]
Die Laryngektomie – noch zeitgemäß?
Human papilloma virus
Hypopharyngeal neoplasms
Laryngeal neoplasms
PET-CT
Radiochemotherapy
Journal
HNO
ISSN: 1433-0458
Titre abrégé: HNO
Pays: Germany
ID NLM: 2985099R
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
pubmed:
14
11
2019
medline:
18
12
2019
entrez:
14
11
2019
Statut:
ppublish
Résumé
Total laryngectomy provides a curative approach for patients with advanced laryngeal and hypopharyngeal cancer without distant metastasis. Especially in stage cT4a disease, laryngectomy is superior to primary radio(chemo)therapy in retrospective studies. Further relevant indications for the procedure are tumor-related laryngeal dysfunction such as dysphagia and aspiration, as well as cancer recurrence after primary radio(chemo)therapy. The surgical procedure is highly standardized, with an appropriate safety profile. The subsequent loss of voice must be compensated by voice rehabilitation (voice prosthesis, ructus). The current overview provides information about indications for laryngectomy, preoperative clinical diagnostics, the surgical procedure, complications, alternative treatment, rehabilitation, and prognosis. Total laryngectomy remains a standard procedure in modern head and neck oncology.
Identifiants
pubmed: 31720696
doi: 10.1007/s00106-019-00769-0
pii: 10.1007/s00106-019-00769-0
doi:
Types de publication
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
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