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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Supracricoid partial laryngectomies in the elderly: mortality, complications, and functional outcome.
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Supracricoid partial laryngectomies in the elderly: mortality, complications, and functional outcome.

机译：老年人的上颌窦类部分喉切除术：死亡率，并发症和功能预后。

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摘要

A review of the postoperative course, complications, and functional outcome of 69 elderly patients (older than 65 years of age) consecutively managed with a supracricoid partial laryngectomy between 1977 and 1993 is presented. The tumors were glottic and supraglottic in origin in 53 and 16 patients, respectively. A cricohyoidoepiglottopexy, a tracheo-cricohyoidoepiglottopexy, and a cricohyoidopexy were performed in 48, five, and 16 patients, respectively. Immediate laryngeal, cervical, and medical complications were noted in 5.8%, 10.2%, and 10.2% of patients, respectively. Supracricoid partial laryngectomies never resulted in perioperative or postoperative death. The 5-year actuarial survival and local control estimates were 68%, and 93.9%, respectively. Late surgical complications included laryngocele, laryngeal stenosis, and pneumonia from aspiration-related death in 4.3%, 4.3%, and 1.4% of patients, respectively. Completion total laryngectomy, permanent gastrostomy, and permanent tracheostomy were requested in 1.4%, 1.4%, and 2.91% of patients, respectively. Overall a 92.8% laryngeal preservation rate was achieved. Univariate analysis of the potential correlation of different factors with the mortality incidence and causes, the incidence and type of the various complications, and the incidence for postoperative aspiration is presented.
机译：回顾性分析了1977年至1993年间经蛛网膜下腔部分切除术治疗的69例老年患者（年龄在65岁以上）的术后病程，并发症和功能结局。起源于声门和声门上的肿瘤分别为53例和16例。分别在48、5和16例患者中进行了环舌环切开，气管-环舌环切开和环切开。分别有5.8％，10.2％和10.2％的患者发现了喉头，颈椎和医疗并发症。弓上部分喉切除术从未导致围手术期或术后死亡。 5年精算生存率和局部控制率分别为68％和93.9％。晚期手术并发症包括喉误吸，与吸入相关的死亡引起的喉狭窄和肺炎，分别占患者的4.3％，4.3％和1.4％。分别要求1.4％，1.4％和2.91％的患者完成全喉切除，永久性胃造口术和永久性气管切开术。总体而言，喉部保存率达到92.8％。提出了对不同因素与死亡率，病因，各种并发症的发生率和类型以及术后误吸发生率之间潜在关系的单变量分析。

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