SOME ISSUES OF SURGICAL TREATMENT POLICY FOR LARYNX CANCER

The paper proposed a procedure that can prevent peristomal recurrences in patients with larynx cancer after laryngectomy (LE). In the period 2010 to 2011, LE was performed in 95 patients with III stage T3N0M0 larynx cancer (according to the conventional procedure in 52 cases of them), among whom periostomal recurrences were identified in 3 (5.7%) patients in the period 8 to 12 months. A study group comprised 43 patients in whom LE was combined with paratracheal fat removal on both sides — they are all currently observed without a tumor relapse and metastases. The above data may suggest that some patients with tumor spread to all 3 laryngeal segments and with fold part involvement and its transition to subfold one need paratracheal fat removal.