Thyroid cartilage flap reconstruction of cricoid in the management of subglottic carcinoma.
- Author:
Xi-cheng SONG
1
;
Qing-quan ZHANG
;
Hua ZHANG
;
Xiu-mei CHEN
;
Yan SUN
;
Li-min ZHAO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Carcinoma, Squamous Cell; surgery; Cricoid Cartilage; surgery; Female; Humans; Laryngeal Neoplasms; surgery; Laryngectomy; Male; Middle Aged; Reconstructive Surgical Procedures; methods; Surgical Flaps; Thyroid Cartilage; transplantation
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2005;40(3):208-211
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the effect of conservative surgical management on patients with subglottic cancer.
METHODSNine cases with subglottic carcinoma were treated surgically from 1984 to 1999. There were T2N0 lesions in 2 cases, T3N0-1 in 3 cases and T4N0-1 in 4 cases. All the cases underwent partial laryngectomy including partial cricoid resection. Variations of a pedicled thyroid cartilage flap were used for reconstruct the cricoid defect. The pedicle based muscle was thyrohyoid, sterno-thyroid or inferior constrictor. Unilateral neck dissection was performed on 7 cases and bilateral on two.
RESULTSThe function of phonation were preserved in all cases. Eight of nine 8/9 were decanulated. Normal deglutition were achieved for all patients. The 3 and 5 year survival rates were 8/9 and 6/9, respectively.
CONCLUSIONPedicled thyroid cartilage flap is appropriate for reconstruction of the cricoid defect in the conservative surgery of selected subglottic carcinoma.
