[Treatment of precanceroses and carcinoma of the larynx].

The problem of diagnosis and treatment of precanceroses and carcinome of the larynx is still one of the foremost interests of ENT specialists. In 1973 to 1982 82 patients with precanceroses of the larynx and 174 patients with carcinoma of the larynx were detected and treated. In the treatment of precanceroses of the larynx the laryngomicro-surgical procedure proved useful. In the third stage of Reinke's oedema a satisfactory functional effect was achieved in 100%, in solitary papilloma and papillomatosis in 88%, in leukoplakia and pachyderma in 76% and in chronic hyperplastic in 67%. Least relapses were recorded in the third stage of Reinke's oedema (0%) and in chronic hyperplastic laryngitis (23%). In the treatment of carcinoma of the larynx combined surgical and radiation therapy is preferable and was used in 55.4% patients; in 36.9% patients only irradiation was used and in 7.7% patients only surgical treatment. Within the framework of surgical and combined treatment 52.8% patients were subjected to laryngectomy and 47.2% to various types of partial resections of the larynx. By combined treatment five-year survival was achieved in 67.5% patients; in stage I and II of carcinoma in as many as 87.5% and in stage III and IV only in 47.5%. In patients after actinotherapy five-year survival was attained only in 45% of the patients, and in those with a supraglottic localization of the tumour only in 30%.