Applied study of voice function rehabilitation by mucosa tube performed in operation of late laryngocarcinoma
10.3760/cma.j.issn.1673-0860.2009.11.008
- VernacularTitle:黏膜管成形一期发音功能重建在晚期喉癌手术中的应用
- Author:
Xi-Zheng SHAN
1
;
Yan-Lin CHEN
;
Xiao-Qing JIA
Author Information
1. 武警总医院
- Keywords:
Rehabilitation;
Voice;
Laryngeal neoplasma;
Laryngectomy
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2009;44(11):918-920
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the voice function rehabilitation by mucosa tube performed in operation of late laryngocarcinoma and to improve the survival quality of patients with Iate laryngocarcinoma.Methods Forty-six patients were treated between Oct.1991 and May 2006,including 4l males and 5females.The average age of the patients Wa8 54.Seventeen cases were glottic carcinomas(T3 NOM0 12,T3NIM0 5),27 cases were supraglottic carcinomas(T3N1M0 16,T4N1M0 5,T3N0M0 6),2 cases were pyriform sinus cancer(T4NlM0 2).For those patients with late laryngocarcinoma, who had lost the chance of partial laryngectomy, mucosa tube shaping during the operation could realize voice functional rehabilitation. Only the survive arytenoids of healthy side was preserved, in order to rehabilitate voice, amucosa tube Was sutured using healthy survive arytenoids and a mucosa strip Was connected to the trachea and the mucosa of hypopharynx. Survival analysis was performed by using Kaplan-Meier method. Results Forty-one out of 46 patients obtained almost normal voice and swallow function. The 5-years survival was76%.Conclusions The operation of voice function rehabilitation by mucosa tube performed can get good voice and swallow function to patients with late laryngo carcinoma.
