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Abstract
Carcinoma of the larynx represents one of the commonest malignant tumors in head and neck region. Although they only represent 2 -5 % of all malignancies worldwide, these cancers have special importance because of their significant effect on voice, breathing, swallowing and quality of life .
Treatment options for these tumors include total laryngectomy and other conservation methods such as radiotherapy , chemotherapy and conservation laryngeal surgery.
In this study , conservation laryngeal surgeries were done for 24 patients with advanced cancer larynx classified as T2b or T3during the period from March 1999 to April 2007 . 17 patients had the operations done during the early years of this study and they were studied retrospectively and 7 cases were done during the last year of the study .
Supraglottic laryngectomy was done for 4 patients , and Supracricoid laryngectomy with cricohyoidopexy or cricohyoidoepiglottopexy was done for 20 patients .
The patients were followed up for a period ranged from 6 months up to 8 years . Follow up data included quality of voice , degree of aspiration , duration of use of the trachestomy , locoregional contol and overall morbidity and mortality.
These data showed that high rate of survival (95 % ) , good quality of voice and good locoregeonal control could be gained by these operations .
From this study we conclude that conservation laryngeal surgery is an effective treatment option for advanced cancer larynx as it radically removes the tumor and preserves the patient ability to breath , speak and swallow in a nearly normal way