Efficacy of partial laryngectomy for glottic carcinoma
- VernacularTitle:声门型喉癌保留喉功能的喉部分切除术疗效分析
- Author:
Keyoumu YOULEDUSI
;
Xingzhi GU
;
Rusuli ABUDU
- Publication Type:Journal Article
- Keywords:
Laryngeal Neoplasms;
Laryngectom;
Reconstructive Surgical Procedures;
Survival Rate
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2006;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To evaluate the efficacy and the recovery of laryngeal functions of various kinds of partial laryngectomy for glottic carcinoma.METHODS The clinical data of 75 patients with glottic carcinoma who underwent partial laryngectomy in our department from Jan. 1997 to Dec. 2006 were retrospectively analyzed. Seventy one cases were male and 4 cases were female. There were 6 kinds of surgical methods for those patients. CO2 laser assisted vocal cordectomy was operated on in 12 cases,vocal cordectomy through laryngofissure in 18 cases,vertical partial laryngectomy in 33 cases,frontal partial laryngectomy in 5 cases,extended vertical partial laryngectomy in 4 cases,and CHEP in 2 cases. RESULTS The overall 3 and 5 year survival rates of the patients were 97.3% and 94.6% respectively. The 3 and 5 year survival rates in 48 cases with stage T1/T2 were 97.9% and 97.9% and those in 27 cases with stage T3/T4 were 92.5% and 85.1%. All of the patients restored the phonation and swallowing function. The decannulation rate was 92.1%(58/63). The decannulation rate of the patients within one month after operation was 85.2% CONCLUSION Partial laryngectomy is the first choice of the radical treatments for glottic carcinoma. Strict indications,correct procedure and surgical repair methods are the keys to ensure the efficacy and preservation of laryngeal function.
