Gallegos-Hernández JF, Mesías-Andrade C, Abrego-Vázquez JA, Ortiz-Maldonado AL, Minauro-Muñoz GG, Fregoso-Arteaga LE

Language: Spanish
References: 0
Page: 8-12
PDF size: 125.33 Kb.

ABSTRACT

Objective: To know if the age is a risk factor of a higher rate of complications in patients submitted to diverse techniques of partial laryngeal surgery.
Material and Method: An observational and cross-sectional study of a series of patients with laryngeal cancer in various stages and locations undergoing some voice-conserving surgery from 1996 to 2018. Nasogastric tube removal, decannulation, and complication rates were measured in two groups of patients: younger than 65 years (group 1) and older than 65 years (group 2).
Results: One hundred ten patients were operated in 22 years; 50 in group 1 and 60 in group 2. Types of surgery: 75 subtotal, 13 fronto-lateral, 10 hemifaringolaringectomy, 10 supraglottic horizontal and 2 Tucker type. Mean decannulation, group 1 of 25 days and nasogastric tube removal 28, group 2: 27 and 32 days respectively. Aspiration rate in group 1 of 56% and 61% group 2. Operative mortality rate was of 3.6%. None required conversion to total laryngectomy due to poor laryngeal function.
Conclusions: Age itself is not a risk factor for surgical complications in partial laryngeal surgery; an adequate selection of patients is necessary based on the ventilatory reserve, the general condition, and the oncological status.