Individualized partial laryngectomy during surgery of epiglottic carcinoma.
- Author:
Wen LI
1
;
Liu YANG
;
Zhe CHEN
;
Wei QIN
;
Liying SHI
Author Information
1. Department of Otolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China. church.ent.wc@163.com
- Publication Type:Journal Article
- MeSH:
Aged;
Carcinoma, Squamous Cell;
surgery;
Epiglottis;
Female;
Humans;
Laryngeal Neoplasms;
surgery;
Laryngectomy;
methods;
Male;
Middle Aged;
Retrospective Studies
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2012;26(24):1105-1107
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate an individualized operative modality of partial laryngectomy for suprahyoid epiglottis centered epiglottic carcinoma.
METHOD:Eleven cases of epiglottic squamous carcinoma which primarily focused in the suprahyoid region were included. Preoperative CT indicated that obvious margin with low density existed in the pre-epiglottic space in 3 cases, and pre-epiglottic space were involved in 8 cases, among which the arytenoid region were involved in 2 cases. An individualized partial laryngectomy was manipulated beyond the safe margin, an arytenoid epiglottic fold-plasty was performed and the remaining epiglottis was fixed to the tongue base. Adjuvant postoperative radiotherapy and chemotherapy were applied to all patients and the follow-up time lasted from 1 to 6 years with mean time of 3 years and 6 months.
RESULT:One patient died of recurrence in the tongue base after one year postoperatively, one was lost to follow-up 2 years after surgery. The overall 3-year survival rate was 81.8%. Nine patients were free from tracheal cannulation within one year postoperatively and the other two patients went on with tracheal tube assisted respiration. Aspiration gradually disappeared within 1-3 months.
CONCLUSION:Individualized partial laryngectomy in treatment of epiglottic carcinoma could preserve more laryngeal tissue and result in better laryngeal function preservation.
