Surgical Treatment for Elderly Patients with Head and Neck Cancer—Larynx Preservation Surgery for Elderly Patients—

Hayashi Ryuichi

doi:10.2468/jbes.63.392

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高齢者に対する外科治療—頭頸部—
高齢者に対する外科治療 : 頭頸部
コウレイシャニタイスルゲカチリョウ : アタマケイブ
Surgical Treatment for Elderly Patients with Head and Neck Cancer^|^mdash;Larynx Preservation Surgery for Elderly Patients^|^mdash;

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Abstract

This report describes the use of laryngeal preservation surgery for elderly patients with laryngeal and hypopharyngeal cancers as a part of tracheoesophageal surgery. The number of patients with laryngeal or hypopharyngeal cancer who underwent resection of the primary cancer as the initial therapy between 1992 and 2006 was 759 (392 with laryngeal cancer and 367 with hypopharyngeal cancer). Laryngeal preservation surgery for the treatment of laryngeal cancer was performed in 12 patients over 75 years to 80 years of age (34%) and 3 patients over 80 years of age (12%). None of patients over 80 years of age with hypopharyngeal cancer underwent laryngeal preservation surgery with reconstructive surgery and only 2 patients (15%) underwent endoscopic surgery. Laryngeal preservation surgery was not suitable for elderly patients with hypopharyngeal cancer unlike those with laryngeal cancer. Because of the individual variations in their physical conditions, it is difficult to routinely choose laryngeal preservation surgery depending on their age alone. As human lifespan has increased and the retirement age has been extended, the preservation of laryngeal function in the elderly should be given due importance.

Journal

Nihon Kikan Shokudoka Gakkai Kaiho

Nihon Kikan Shokudoka Gakkai Kaiho 63 (5), 392-397, 2012

The Japan Broncho-esophagological Society

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