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Observation à long terme des patients traités par crico-hyoido-épiglottopexies

Auteurs : Fei M1
Affiliations : 1Faculte de médecine, université Jiao Tong, Shanghai, China
Date 2014 Octobre, Vol 131, Num 4, Supplement, pp A47-A47Revue : Annales françaises d’oto-rhino-laryngologie et de pathologie cervico-facialeDOI : 10.1016/j.aforl.2014.07.127
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Résumé

ObjectiveTo investigate the long-term results of cricohyoidoepiglottopexy(CHEP) in the treatment of glottic carcinoma.MethodsA retrospective chart review of 92 consecutive patients who underwent CHEP in the selected institut from January 1990 to December 2008. Of the 92 cases, 41 cases of stage I, 39 cases of stage II, 12 cases of stage III. The time for the decannulation and the removal of the nasal feeding and quality of phonation were used for evaluating postoperative functional rehabilitation. The estimated long-term survival rates were calculated by Kaplan–Meier method.ResultsAmong 92 patients, 26 cases(27 sides) received elective neck dissection and lymph nodes were pathologically positive in 3 patients(11.1 %). All final surgical margins were negative for tumor invasion. Seven patients had postoperative radiotherapy and one had chemoradiation. Thirteen patients (14.3 %) were found local recurrence and nine patients(9.7 %) had postoperative metastases. Overall 3-, 5-and 10-year survival rates were 90.01 %, 84.48 % and 66.93 % respectively. Cox multivariate analysis showed that the recurrence had significant influences on the overall survival rate.ConclusionCHEP not only is relatively easy to master, but also effective in the treatment of glottic carcinoma.

 Source : Elsevier-Masson
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Fei M. Observation à long terme des patients traités par crico-hyoido-épiglottopexies. Annales françaises d’oto-rhino-laryngologie et de pathologie cervico-faciale. 2014 Oct;131(4):A47-A47.
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Dernière date de mise à jour : 27/11/2015.


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