OUTCOMES FOLLOWING TOTAL LARYNGECTOMY FOR ADVANCED STAGE LARYNGEAL CANCER AT UNIVERSITY MEDICAL CENTER HO CHI MINH CITY

Xuân Quang Lý, Ngọc Tường Linh Trần, Quang Hưng Lê, Thanh Tài Trần

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Abstract

Objective: To evaluate treatment outcomes for advanced-stage laryngeal cancer patients who underwent total laryngectomy. Method: The study included all patients with T3, T4a, or T4b stage laryngeal cancer who underwent total laryngectomy at the University Medical Center in Ho Chi Minh City from 2018 to 2021. Data collection involved medical records and quality-of-life assessment using the EORTC-C30 and EORTC H&N-35 questionnaires. Results: Of 64 eligible patients, 47 completed the quality-of-life questionnaire. The mean disease-free survival was 45.3 months, with a three-year overall survival rate of 82.2%. However, quality of life decreased significantly, especially in communication ability, olfactory-gustatory function, and psychological well-being. Postoperative complications included pharyngocutaneous fistula, infection, and pneumonia. Conclusion: Total laryngectomy extended survival for advanced laryngeal cancer patients but had a substantial impact on quality of life. Interventions to improve quality of life post-surgery are essential.

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References

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