Clinical experience with the treatment of T1b glottic cancer by means of horizontal glottectomy

This study describes the oncological and functional results of horizontal g lottectomy performed in a series of 37 similar patients with T1b glottic ca ncers. The 5-year overall and disease-free survival rates were, respectivel y, 85.4% and 91.0%. Decannulation was always possible within a mean period of 16.2 days, and no patient developed laryngeal stenosis. A bypass naso-ga stric tube was removed a mean 4.9 days after surgery, and adequate swallowi ng was soon obtained. The mean duration of post-operative hospitalization w as 16 days and no major post-operative complications were observed. Satisfa ctory vocal function was obtained in all cases. On the basis of these resul ts, horizontal glottectomy was found to be a reliable and safe procedure fo r the management of T1b glottic cancer.