Surgical methods and clinical analysis of early-stage glottic carcinoma involved anterior commissure.
- Author:
Hongbing LIU
1
;
Yuehui LIU
;
Ying LUO
;
Shaorong ZHANG
;
Chunping YANG
Author Information
1. Department of Otolaryngology Head and Neck Surgery, Second Affiliated Hospital of Nanchang University, Nanchang 330006, China. liuhb1992@163.com
- Publication Type:Journal Article
- MeSH:
Adult;
Aged;
Aged, 80 and over;
Carcinoma, Squamous Cell;
pathology;
surgery;
Female;
Glottis;
pathology;
Humans;
Laryngeal Neoplasms;
pathology;
surgery;
Laryngectomy;
methods;
Larynx;
surgery;
Male;
Middle Aged;
Retrospective Studies;
Tracheostomy
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2013;27(3):122-125
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the surgical methods for management of early-stage glottic carcinoma involved anterior commissure.
METHOD:Fifty-eight cases of early-stage glottic carcinoma (T1, n = 23; T2, n = 35) treated with vertical frontolateral partial laryngectomy and frontal partial laryngectomy or modified window partial laryngectomy without tracheostomy were retrospectively reviewed.
RESULT:All patients can swallow smoothly and phonate clearly after operation. And the extubation rate with vertical fronto vertical partial laryngectomy is 97.2%. Tracheostomy was performed in one case after operation because of dyspnea. The most common postoperative complication was subcutaneous emphysema which developed postoperatively in 6 patients, but subsided after discharge. Follow-up was conducted for 8 months to 7 years, recurrence was observed in 3 cases. The 3 and 5 year survival rates were 97.5% and 91.8% respectively.
CONCLUSION:To choose the optimal surgical method for patients with early-stage glottic carcinoma not only can reduce the risk of recurrence but also can save the laryngeal function and thus improves the quality of life.
