[Surgical treatment of laryngeal carcinoma in the elderly over 70]
- PMID: 12563964
[Surgical treatment of laryngeal carcinoma in the elderly over 70]
Abstract
Objective: To explore the possibility and perioperative management of laryngectomy in the elderly over 70.
Method: The records of 28 patients of laryngeal carcinoma aged 70 and over treated with laryngectomy were reviewed.
Result: Among the 28 cases, 23 cases (82.1%) had one or more concomitant diseases or laboratory abnormalities. Most of them were cardiovascular disorders (60.7%) and respiratory disorders (25%). Total laryngectomy was performed in 15 cases. Partial laryngectomy was performed in 12 cases. Vocal cardectomy was performed in 1 case. The neck dissection was performed in 3 cases. No operative accident and death had happened in this group. The rate of postoperative complications was 32.1%.
Conclusion: The elderly over 70 can tolerate laryngeal surgery well if the case is properly selected and careful perioperative management.