Application of epiglottis with sternohyoid muscle in the surgery for laryngeal cancer
10.3760/cma.j.issn.1673-0860.2012.06.016
- VernacularTitle:会厌瓣及胸骨舌骨肌肌筋膜瓣在声门型喉癌术中的应用
- Author:
Tai-Zhong PANG
1
;
Yun-Gang WU
;
Xiao-Yu LI
;
Fu-Ping GAO
;
Yu-Cai SUN
;
Shan LI
;
Deng-Dian MA
Author Information
1. 济宁医学院附属医院
- Keywords:
Laryngeal neoplasms;
Reconstructive surgical procedures;
Prognosis
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2012;47(6):501-503
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the application of epiglottis plus sternohyoid muscle flap in the surgery for laryngeal cancer.Methods Fifty patients with glottis cancer underwent partial laryngectomy and the postoperative laryngeal defects were reconstructed by epiglottis plus sternohyoid muscle flaps. TNM stages:T2N0M0 23 cases,T3N1M0 14 cases,and T3N2M0 13 cases.All patients received postoperative radical radiotherapy with average dosage of 60 Gy.The patients were followed up for 3 to 5 years,median was 4.2 years.Results The three- and five-year survival rates were 90％ and 80％ respectively. Most cases were with good swallowing,voice and breath functions.The decannulation rate was 96％.Conclusion Epiglottis plus sternohyoid muscle flap is an opitional technique for the reconstruction of laryngeal functions after partial laryngectomy.
