Extended supracricoid partial laryngectomy with tracheocricohyoidoepiglottopexy and tracheocricohyoidoglottopexy.
- Author:
Hong YANG
1
;
Wei SHEN
;
Xinlu XIONG
Author Information
1. Department of Otolaryngology, the First People's Hospital of Guiyang, Guiyang, 550002, China. hong-yang01@163.com
- Publication Type:Journal Article
- MeSH:
Aged;
Carcinoma, Squamous Cell;
pathology;
surgery;
Cricoid Cartilage;
surgery;
Humans;
Laryngeal Neoplasms;
pathology;
surgery;
Laryngectomy;
methods;
Larynx;
surgery;
Male;
Middle Aged;
Treatment Outcome
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2008;22(18):840-845
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the surgical procedure and indication of the Extended supracricoid partial laryngectomy with tracheocricohyoidoepiglottopexy and tracheocricohyoidoglottopexy (ESCPL+-TCHEP/TCHP) as well as the rehabilitation of laryngeal functions.
METHOD:ESCPL+TCHEP/TCHP were conducted in 10 cases with laryngeal carcinoma of T3 and T4 stages with subglottic invasion for 10-20 mm from 2000 to 2005.
RESULT:All the 10 cases, 9 of them have survived until now and still be followed up. 1 of them succumbed to the recurrence of cervical lymph node metastasis 4 years after the surgery. Normal respiration, deglutition and the function of maintaining subglottic pressure were recovered in all the case. Postoperative phonation was also satisfactory among all of them.
CONCLUSION:If handle the surgical indication strictly, to some cases of laryngeal carcinoma with subglottic invasion for 10-20 mm, this surgical technique could replace the total laryngectomy.