1.Application of epiglottis with sternohyoid muscle in the surgery for laryngeal cancer.
Tai-zhong PANG ; Yun-gang WU ; Xiao-yu LI ; Fu-ping GAO ; Yu-cai SUN ; Shan LI ; Deng-dian MA
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2012;47(6):501-503
OBJECTIVETo explore and evaluate the application of epiglottis with sternohyoid muscle in the surgery for laryngeal cancer.
METHODSTwo fifty patients with laryngeal cancer were treated by partial laryngectomy and the laryngeal defects were reconstructed by epiglottic flap and sternohyoid muscle fascia flap. The staging of tumors: T2N0M0 23 cases, T3N1M0 14 cases, T3N2M0 13 cases. All of them received post radical radiotherapy with average 60 Gy. The patients were followed up for 3 to 5 years. Thirty patients underwent neck dissection.
RESULTSThe three and five years survival rates were 90% and 80% respectively. The total cases eat breath pronounced well. The decannulation rate was 96%.
CONCLUSIONAfter partial laryngectomy in laryngeal cancer epiglottic flap and sternohyoid muscle fascia flap were performed reconstruction of laryngeal function.
Aged ; Carcinoma, Squamous Cell ; surgery ; Epiglottis ; transplantation ; Female ; Humans ; Hyoid Bone ; Laryngeal Neoplasms ; surgery ; Male ; Middle Aged ; Muscle, Skeletal ; transplantation ; Reconstructive Surgical Procedures ; methods ; Retrospective Studies ; Sternum ; Surgical Flaps