Laringectomia supracricóide (chep) para câncer glótico

Lima, Roberto; Freitas, Emilson de Queiroz; Kligerman, Jacob; Sá, Geraldo Matos de; Santos, Izabella Costa; Farias, Terence Pires de

doi:10.1590/s0100-69912001000400004

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…This technique provides a good alternative for moderately advanced glottic cancer removing the paraglottic space, as we can see in the results of the French authors, and the Brazilian National Cancer Institute experience with pT3 and pT4 glottic cancer patients, with higher local control rates in comparison with other conservative options for glottic cancer ( table 6 ). Our previous experience with SCPL-CHEP for laryngeal cancer motivated us to include more advanced glottic cancers in the group of subtotal laryngectomies [43] .…”

Section: Therapeutic Options For Advanced Supraglottic Cancermentioning

confidence: 99%

Therapeutic Options in Advanced Laryngeal Cancer: An Overview

Dias

Lima

Kligerman

et al. 2005

ORL

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Historically, patients with advanced laryngeal cancer have been treated with radical surgery and adjuvant radiation therapy. Intensive surgical research has allowed surgeons to deal with almost any local extension and to propose an appropriate surgical procedure for each case. Several function-sparing surgical options are available to treat moderately advanced/advanced laryngeal cancer. Better understanding of the anatomy and biology of cancer in this anatomical site has enabled us to devise effective oncological strategies associated with a great effort to preserve laryngeal function. Numerous efforts have been made to augment the therapeutic armamentarium with the addition of chemotherapeutic agents combined with radiation therapy. For advanced laryngeal cancer, the debate is still open between partial/subtotal surgical procedures, which are more efficient but sacrifice parts of the larynx, and radiotherapy/chemoradiation protocols which can preserve the larynx and its function even though it requires radical surgery for salvage. Efforts should be made to select patients properly, in an individual basis, based on tumor characteristics, clinical aspects, patient’s expectations, and the expertise of the head and neck oncologic team for the various therapeutic strategies in order to get better oncological results in association with the preservation of the laryngeal form and function, when possible.

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Section: Therapeutic Options For Advanced Supraglottic Cancermentioning

confidence: 99%

Therapeutic Options in Advanced Laryngeal Cancer: An Overview

Dias

Lima

Kligerman

et al. 2005

ORL

Self Cite

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Laringectomias supracricóides: revisão de literatura em protocolos de qualidade de vida

Oliveira

Marialva

2016

Rev. CEFAC

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Supracricoid Partial Laryngectomy (SCPL) is indicated for treatment of tumors staging 1 and 2, and some cases of advanced tumors. It is considered by literature as presenting satisfactory results for both, preservation of larynx and its functionality. This study aimed a systematic review of literature on voice related quality of life in patients submitted to SCPL, identifying protocols of quality of life regarding head and neck cancer. The following database was consulted for the systematic exploratory literature review: MEDLINE, SCIELO, LILACS; PUBMED. Portuguese, English and Spanish-language descriptors (DeCS) were used. The selection of articles followed inclusion criteria for Relevance Test appliance. This literature review revealed that the protocols used specifically with oncologic patients of head and neck, were mainly EORTC-C30/H&N35, UW-QOL and HNQOL. The SCPL even though to be considered a surgery that allows the preservation of swallowing and phonation functions is pointed as having the possibility of remaining complaints in such functions. Literature affirms that patients were satisfied with their own voice, having little difficulty in order to communicating in a intelligible way. Studies report patients with breathing difficulties after SCPL, including obstructive sleep apnea. It was concluded further researches aiming at pointing the difficulties resultant from SCPL and using more specific head and neck protocols are necessary, which may better reveal the impact of SCPL on quality of life. Keywords: Voice; Dysphonia; Head and Neck Neoplasms; Laryngectomy; Quality of Life RESUMO A Laringectomia Parcial Supracricóide (LPSC) é indicada para tratamento de tumores com estadiamento1 e 2 e certos casos de tumores avançados. É considerada pela literatura como apresentando resultados satisfatórios em ambas situações, preservação da laringe e funcionalidade. Este estudo tem como objetivo rever de forma sistemática a literatura voltada para qualidade de vida em voz de pacientes submetidos a LPSC, identificando-se os protocolos de qualidade de vida em câncer de cabeça e pescoço. Para a revisão de literatura sistemática exploratória foram considerados os seguintes bancos de dados: MEDLINE, SciELO, LILACS; PubMed. Utilizados descritores em português, inglês e espanhol. A seleção dos artigos seguiu critérios de inclusão, para aplicação de teste de Relevância. Esta revisão de literatura revelou que os protocolos específicos para pacientes oncológicos de cabeça e pescoço mais utilizados são o EORTC-C30/H&N35, UW-QOL e HNQOL. A LPSC embora seja considerada uma cirurgia que vise à preservação das funções de deglutição e fonação é apontada como tendo possibilidade de permanência de queixas em tais funções. A literatura afirma que os pacientes se declaram satisfeitos com a própria voz, tendo pouca dificuldade para se comunicar de forma inteligível. Estudos relacionam pacientes com dificuldades respiratórias após LPSC, inclusive com apneia obstrutiva do sono. Conclui-se que ha necessidade de mais pesquisas que v...

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Laringectomia supracricóide (chep) para câncer glótico

Cited by 2 publications

References 25 publications

Therapeutic Options in Advanced Laryngeal Cancer: An Overview

Therapeutic Options in Advanced Laryngeal Cancer: An Overview

Laringectomias supracricóides: revisão de literatura em protocolos de qualidade de vida

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