Compare the results of supracricoid partial laryngectomy-cricohyoidopexy and horizontal-vertical hemilaryngectomy in the treatment of mid and late laryngeal carcinoma / 临床耳鼻咽喉头颈外科杂志
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
; (24): 673-677, 2012.
Article
in Chinese
| WPRIM (Western Pacific)
| ID: wpr-746716
Responsible library:
WPRO
ABSTRACT
OBJECTIVE@#To compare the results of supracricoid partial laryngectomy-cricohyoidopexy (SCPL-CHP) and horizontal-vertical hemilaryngectomy in the treatment of mid and late laryngeal carcinoma.@*METHOD@#Retrospective analysis on the types of mid and late stage of laryngeal carcinoma clinical material, 22 patients supracricoid partial laryngectomy-cricohyoidopexy, 20 patients horizontal-vertical hemilaryngectomy, each with the added radiotherapy. The long term results of operation and glottic reconstruction were evaluated by postoperative visiting, semi-quantitative speech intelligibility analysis, electroglottograph (EGG) and so on.@*RESULT@#Forty-two cases of laryngeal cancer patients were decannulated, the decannulation rate was 100%. Postoperative decannulation time surgical CHP for (44.0 +/- 4.6) d, 3/4 throat operation for (39.0 +/- 2.7) d, two groups of postoperative decannulation time difference was statistically significant (t = 4.2395, P 0.05). GRBAS in the evaluation of G rating, the difference between the two groups was statistically significant (P 0.05), and the jitter, shimmer and NNE compared CHP group to 3/4 laryngectomy group were significantly increased (P 0.05).@*CONCLUSION@#According to the laryngeal of middle-late carcinoma, the region and the involvement of the scope were considered to choose appropriate surgical treatments, and both can complete resection of the tumor, and can retain good laryngeal functions,and CHP has a wider range of operation indications and clinical application prospect, is worthy to be popularized.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pharynx
/
General Surgery
/
Carcinoma, Squamous Cell
/
Laryngeal Neoplasms
/
Retrospective Studies
/
Treatment Outcome
/
Cricoid Cartilage
/
Deglutition
/
Hyoid Bone
/
Laryngectomy
Type of study:
Observational study
Limits:
Adult
/
Aged
/
Humans
/
Male
Language:
Chinese
Journal:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
Year:
2012
Document type:
Article