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Combined pre-operative telecobalt therapy and supraglottic laryngectomy

Published online by Cambridge University Press:  29 June 2007

S. L. Sellars
Affiliation:
Departments of Otolaryngology and Radiotherapy, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa.
E. E. D. Mills
Affiliation:
Departments of Otolaryngology and Radiotherapy, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa.
A. B. Seid
Affiliation:
Departments of Otolaryngology and Radiotherapy, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa.

Summary

At Groote Schuur Hospital, Cape Town, over a 5-year period (1974 to 1978) 15 patients with squamous cell carcinoma of the larynx or hypopharynx have had planned 2,000 Rad Telecobalt therapy followed by supraglottic horizontal laryngectomy. Five patients following surgery had a further 3,600–4,000 Rad Telecobalt therapy.

The peri-operative complications, in addition to those of whole organ resection, included debilitating laryngeal incompetence in three patients, two of whom underwent total laryngectomy. All 15 patients have remained free of recurrent disease for 2 years and 10 have been free for 3 or more years. One patient dies 4 years after surgery from a primary bronchial carcinoma.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1981

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