Window partial laryngectomy with endoscopy for the treatment of stage T1b--T3 laryngeal carcinoma.
- Author:
Chang SHU
1
;
Zhilin PENG
;
Jianchao CHEN
;
Changling SUN
;
Xiao YIN
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, Fourth Medical College of Suzhou University, Wuxi, 214062, China) Corresponding auther:SHU Chang(Email: chinaent@sohu. corn). chinaent@sohu.com
- Publication Type:Journal Article
- MeSH:
Adult;
Aged;
Carcinoma, Squamous Cell;
pathology;
surgery;
Female;
Follow-Up Studies;
Glottis;
pathology;
Humans;
Laryngeal Neoplasms;
pathology;
surgery;
Laryngectomy;
methods;
Male;
Middle Aged;
Neoplasm Recurrence, Local;
Neoplasm Staging;
Survival Rate;
Thyroid Cartilage;
surgery;
Treatment Outcome
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2010;24(8):362-364
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the operative effect and value of window partial laryngectomy with endoscopy for treatment of stage T1b--T3 laryngeal cancer.
METHOD:Twenty-seven cases with glottic laryngeal cancer were treated by window partial laryngectomy with endoscopy. After 3-year and 5-year survival rate and laryngeal functions (respiratory, pronunciation, swallowing function) recovery were evaluated.
RESULT:The 3- and 5-year survival rates were 83.3% (15/18) and 75.0% (9/12) respectively. The decannulation rate was 92.6% (25/27) 4 weeks after operation. Three months after decannulation of respiratory function evaluation: the march to fast runner 77.8% (21/27), the jogger 14.8 (4/27), who walk briskly 7.4% (2/27). All patients had recovered after four weeks swallowing without choking cough and satisfied with phonation. Local recurrence rates at 3 and 5 year after operation were 10.5% (2/19) and 15.4% (2/13) respectively.
CONCLUSION:The research shows that window partial laryngectomy with endoscopy was applicable to stage T1b--T2 and selecting T3 laryngeal cancer patients. Postoperative respiratory, pronunciation and swallowing function recovery rate is satisfactory.
