Total Laryngectomy outcome of 36 cases after 5 years at Mosul Centre

Objective: To evaluate results of treating laryngeal cancer by total laryngectomy. Methods: A prospective study of 36 patients with squamous cell carcinoma of the larynx treated with total laryngectomy over five years period.Results: The age range of the patients was between 34-72 years with a male to female ratio of 11/1. After five years follow up of patients , 100%, 84% & 14% were free of disease for T2, T3 & T4 respectively. Results of treating cases at T3 stage seems to be better when surgery preceded radiotherapy than when radiation given before.Conclusion: Combination of surgery and radiotherapy gives relatively high cure rates if stage of tumour was still within the larynx ( T3 or less). The results of this study shows that this was better when surgery preceded radiotherapy.