Özet:

Purpose: To share our data and experience in primary and nick advanced stages of larynx tumors. Instruments and Methods: In our clinic between the years 2012-2019 the records of patients who have undergone total larenjektomy surgery due to primary and post-radiotherapy tumor diagnosed with squamocellular larynx were retrospective examined. In this study; patients were scanned according to age, gender, T stage, primary settlement, transglothic extension, lymphatic nod metastasis, extracapsules spread, the addition of thyroid outbreak to surgery and 5 years of unhealthy survival. Results: Total larenectomy was applied to a total of 81 patients, including sixteen (74) primary, 21 (26) post-radiotherapy nuts. In 18 primary patients metastatic lymph nodes were observed. 15 patients received thyroid lobectomy, 7 patients received total thyroid lobectomy. In primary patients, 5 years of unhealthy survival was 58.3 percent, while in rescue surgeries 52.9 percent. The result: the total larenectomy after radiotherapy can cause additional complications according to primary patients. When the decision is made for surgery or radiotherapy for treatment, we consider the need for the final decision to be agreed with the patients by giving information about the possible nuts and the secondary surgeons that may be required due to these nuts, in addition to the expected side effects of radiotherapy.

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