Window partial laryngectomy for the treatment of stage T2-3 glottic laryngeal carcinoma
10.3321/j.issn:1673-0860.2008.07.009
- VernacularTitle:喉软骨开窗式喉部分切除术治疗T2-3声门型喉癌
- Author:
Shuang-Le WANG
1
;
Chu YANG
;
Chuang-Wei LI
;
Xin LIN
;
Dong-Tao YANG
;
En-He CHEN
Author Information
1. 中山大学附属汕头医院
- Keywords:
Laryngeal neoplasms;
Laryngectomy;
Hoarseness;
Recovery of function
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2008;43(7):519-523
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the operative effect and value of window partial laryngectomy for the treatment of stage T2-3 glottic laryngeal carcinoma.Methods From Oct.2000 to Dec.2006,the stage T2-3 glottie laryngeal carcinoma of 48 patients by properly selected were performed with window partial laryngectomy and laryngeal reconstruction.Twenty nine males and 19 females were included.Their ages ranged from 43 to 78 years(median 57.0 years).Before operation and in the 6 months after operation,these targets including auditory mental evaluation of hoarse degree,active degree and symmetry of vocal cord,glottie width in the time of quiet breathing,glottie closing degree in the time of phonating,respiratory function and swallowing function were surveyed.In addition,the things of recurrence and metastasis of tumors together with survival time of patients were following investigated. Results All patients were decannulated successfully and incisions were healed smoothly.No operative complication occurred.Except active degree of vocal cord(P=0.343),there were respectively significant difference between two group targets of auditory mental evaluation of hoarse degree(all P＜0.01),symmetry of vocal cord(P=0.000),glottic width in the time of quiet breathing(P=0.001),glottie closing degree in the time of phonating(P=0.001)and respiratory function(P=0.001)those were investigated before operation and after operation.The swallowing function wasn't influeneed(P=0.310).There were laryngostenosis in 1 case,recurrence in 1 case(2.1%),cervical lymph node metastasis in 1 ease and hepatic metastasis in 1 case.Two cases died.3-year and 5-year overall survival rate were respectively 96.9% and 88.9%.Conclusions The study showed that window partial laryngectomy wag successful for treating stage 32-3 glottic laryngeal carcinoma by properly selected.This operation was effective for reducing surgical invasion and beneficial to resume respiratory and vocal function.
