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- 1Department of Otolaryngology, UCAD/ FANN Hospital, Senegal
- 2Department of Otolaryngology, Albert Royer Hospital/ UCAD, Senegal
- 3Department of Otolaryngology, UCAD/ HOGGY Hospital, Senegal
*Corresponding author:
Ciré Ndaiye, Department of Otolaryngology, UCAD/ FANN Hospital, Senegal
Received: December 20, 2019; Published: January 17, 2020
DOI: 10.32474/SJO.2020.03.000172
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Abstract
Objectives: Description of epidemiology, clinical features and survival of patients undergoing laryngectomy and thyroidectomy
for larynx carcinoma extending to the thyroid gland.
Patients and Methods: This study concerned adult patients from ENT departments in Academic Hospitals (Aristide Le Dantec
and Fann) who had a total laryngectomy and a thyroidectomy.
Results: Fifty-nine (59) patients had total laryngectomy (TL) with thyroidectomy. The average age was 52 years. There were 58
men (98.3%) and one woman (1,7%). Laryngeal tumors (TNM classification) were very advanced (T3-T4) in 58 patients (98.3%).
The TL was combined with a thyroidectomy in all cases. Four patients (12.5%) had invasion of the thyroid gland by the squamous
carcinoma originating from the larynx. Survival was 10% at 5 years. There was no significant difference according to thyroid gland
invasion or not (p = 0.15).
Conclusion: This poor prognosis is certainly related to the fact that patients attend late but also is related to the deficits of the technical platform
Keywords: Laryngectomy; thyroid spread; prevalence
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