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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery

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Otorinolaringologia 1999 June;49(2):79-82

language: Italian

Advantages of frequent follow-up, in patient with fixed phonatory prosthesis, in the early diagnosis of recurrences and second primary tumors

Nazionale G., Albera R., Palonta F., Fadda G. L., Cavalot A. L.

Universit√† degli Studi - Torino Dipartimento di Fisiopatologia Clinica II Cattedra di ORL


Background. Actually the most utilized reconstructive technique regarding voice restoration after total laryngectomy is based on the creation of a tracheo-esophageal fistula with positioning of a phonatory valve. This technique causes frequent follow-up. The aim of the study was to determine if in subjects with phonatory valve there is a higher survival in cases of recurrence or residual tumor.
Methods. The study was carried out on 80 patients submitted to total laryngectomy with voice restoration by means of a phonatory valve.
Results. In 8 of the 80 cases (10%) a second tumor, was observed a second tumor, recurrent or residual, in a mean time of 36 months (range between 11 and 132). In this group of 8 patients a survival rate of 62% was obtained with new surgical procedures or radio-chemiotherapy.
Conclusions. Since the survival rate reported in the literature in similar cases is lower than in our data, it is suggested that the frequent follow-up due to phonatory valve controls improves the survival in subjecs affected by second or o residual laryngeal tumors.

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