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Acta Otorrinolaringológica Española
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Inicio Acta Otorrinolaringológica Española Cordectomía por laringofisura. Revisión del período 1978-1998
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Vol. 55. Issue 4.
Pages 177-181 (April 2004)
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Vol. 55. Issue 4.
Pages 177-181 (April 2004)
Cordectomía por laringofisura. Revisión del período 1978-1998
Cordectomy by laryngofissure. Review of the period 1978-1998
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J.A. Márquez Moyano
Corresponding author
marquezmoyano@terra.es

Juan Andrés Márquez Moyano. Servicio de ORL. Hospital Universitario Reina Sofía. Avenida Menéndez Pidal, s/n. 14004 Córdoba
, R. Sánchez Gutiérrez, A.S. Mohamed Youssef, J. Roldán Nogueras, P. Ostos Aumente, P. López Villarejo
Correspondencia: Servicio de otorrinolaringología. Hospital universitario reina sofía. Córdoba
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Resumen
Objetivo

El carcinoma glótico precoz se puede abordar con diferentes opciones terapéuticas. Analizamos los resultados obtenidos mediante cordectomía abierta por laringofisura

Material y métodos

Estudio descriptivo, retrospectivo, incluyendo 75 pacientes con carcinoma glótico T1N0M0 tratados mediante cordectomía por laringofisura (72 varones y 3 mujeres). La técnica anestésica habitual fue locorregional más sedación de base. Tumor T1a, 62 pacientes (82,66%); T1b, 13 pacientes (17,33%)

Resultados

La supervivencia causa específica a tres, cinco y diez años fue del 100%, 96,8% y 85,2% respectivamente; la supervivencia global del 98,66%, 90,47% y 52,17% a tres, cinco y diez años respectivamente. Ocurrieron diez recidivas (13,3%). Tras la repesca murieron el 50% de los pacientes recidivados. La probabilidad de supervivencia libre de enfermedad a tres, cinco y diez años se estimó en 0,9322, 0,9172 y 0,7093 respectivamente

Conclusiones

Esta técnica aporta buen control de la enfermedad y facilidad técnica. Al prescindir del traqueostoma es mejor tolerada y genera menor coste por paciente

Palabras clave:
Carcinoma glótico
Cordectomía
Laringofisura
Anestesia locorregional
Recidiva local
Recidiva regional
Abstract
Objetive

The early glottic carcinoma can be approached by different therapeutic options. We analyze the results obtained by means of cordectomy opened up by laryngofissure

Material and method

We design a descriptive retrospective study including 75 patients with glottic carcinoma T1N0M0 handled by means of cordectomy by laryngofissure (72 males and 3 females). The anaesthetic technique was locoregional and sedation. Tumor T1a, 62 patients (82.66%); T1b, 13 patients (17.33%)

Results

The specific survival rate at three, five and ten years was 100, 96.8 and 85.2% respectively; the global survival was 98.66, 90.47 and 52.17% respectively to three, five and ten years. There were ten recurrences (13.3%). Following treatment, 50% of the relapsed patients died. The probability of survival free of illness to three, five and ten years was considered in 0.9322, 0.9172 and 0.7093 respectively

Conclusions

This technique means good control of the illness and technical easiness. When doing it without a tracheostomy it is tolerated better and it generates lower costs per patient

Key words:
Early glottic cancer
Cordectomy
Laryngofissure
Locoregional anaesthesia
Local recurrence
Regional recurrence

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