Supracricoid partial laryngectomy for the treatment of laryngeal cancer / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
;
(12): 423-426, 2005.
Article
in Chinese
| WPRIM
| ID: wpr-288866
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the oncological and functional outcomes in patients undergoing supracricoid partial laryngectomy (SCPL).</p><p><b>METHODS</b>Forty-three cases underwent supracricoid partial laryngectomy with functional reconstruction in stage T1b-T4. In these cases, 16 were supraglottic cancers, 21 were glottic cancers, and 2 were subglottic cancers. Three types of supracricoid partial laryngectomy (cricohyoidopexy CHP, cricohyoidoepiglottopexy CHEP and tracheocricohyoidoepiglottopexy TCHEP) were employed accordingly.</p><p><b>RESULTS</b>The 3- and 5-year accumulative survival rates were 90.7% and 83.7% respectively (Kaplan-Meier method). Median follow-up time was 57 months. Decannulation rate was 95.3% (41/43) in those. The mean time of decannulation was 14 days in patients preserved both cricoarytenoid units and 43 days in those only preserved one cricoarytenoid unit. The removal of epiglottis increased the risk of aspiration and prolonged time of decannulation (P < 0.05).</p><p><b>CONCLUSIONS</b>Supracricoid partial laryngectomy for selected laryngeal cancer is feasible. The patients can gain satisfied survival rate and quality of life.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
General Surgery
/
Carcinoma, Squamous Cell
/
Laryngeal Neoplasms
/
Survival Rate
/
Retrospective Studies
/
Mortality
/
Treatment Outcome
/
Cricoid Cartilage
/
Laryngectomy
/
Methods
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Year:
2005
Type:
Article
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