SUPRAGLOTTIC LARYNGECTOMY - EXPERIENCE WITH 66 PATIENTS OVER 20 YEARS

We reviewed the records of 66 consecutive patients with previously unt reated supraglottic laryngeal carcinoma who underwent a supraglottic l aryngectomy in our department between 1970 and 1989. There were 23 T1, 30 T2 and 13 T3 cases. Eight patients had neck metastases and underwe nt neck dissection also. Twenty-four (36 per cent) patients received p ost-operative radiotherapy. Two-year and five-year survival rates were 88.9 per cent and 82.2 per cent respectively. When the survival rates of the patients with T1, T2 and T3 lesions were calculated separately and compared with each other the differences were not statistically s ignificant. Recurrences, post-operative complications, time to progres sion and indications for supraglottic laryngectomy are discussed.