후두전적출술 52 례에 대한 임상통계학적 고찰

Clinical Analysis of Laryngectomized Patients

A retrospective investigation of 52 cases of carcinoma of the larynx, who underwent total laryngectomy c(-) or s(-) neck dissection at Pusan National University Hospital from 1978 to 1985, was performed. The results obtained were as follows: 1) There were 32 glottic(62.7%), 18 supraglottic(35.3%) and 1 subglottic(2.0%) carcinoma. 2) In stage grouping, stage III was the most(64.7%) and then stage II, stagelV, stage I in order. 3) Overall rate of cervical metastasis was 29.4%. In glottic carcinoma, 0% of T1, 40% of T2 , 18% of T3 and 25% of T4. In supraglottic carcinoma, there was 0% of Tl' 29% of Tv 56% of T3 and 50% of T4. 4) The incidence of postoperative complication was 31.4% and stomal stenosis was the most (13.7%) 5) There were 8 cases of local recurrence and 3 cases of distant metastasis (2 cases in lung, 1 case in esophagus) among 40 cases which were able to follow up. 6) 3 year estimated survival rate for glottic and supraglottic carcinoma were 73.3% and 85.7% respectively.