[Supracricoid partial laryngectomy for the treatment of laryngeal cancer].
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 40(6): 423-6, 2005 Jun.
Article
em Zh
| MEDLINE
| ID: mdl-16144335
ABSTRACT
OBJECTIVE:
To evaluate the oncological and functional outcomes in patients undergoing supracricoid partial laryngectomy (SCPL).METHODS:
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.RESULTS:
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).CONCLUSIONS:
Supracricoid partial laryngectomy for selected laryngeal cancer is feasible. The patients can gain satisfied survival rate and quality of life.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Carcinoma de Células Escamosas
/
Neoplasias Laríngeas
/
Cartilagem Cricoide
/
Laringectomia
Tipo de estudo:
Evaluation_studies
/
Observational_studies
/
Risk_factors_studies
Aspecto:
Patient_preference
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Zh
Revista:
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
China