Original Article
SUPRAGLOTTIC LARYNGECTOMY WITH OR WITHOUT ONE ARYTENOID IN EPIGLOTTIC CARCINOMA (40 CASES REPORT)
Abstract
Objective: To investigate the indications of supraglottic laryngectomy.'Supraglottic laryngectomy with or without one arytenoid is a functional laryngectomy suitable for treatment of epiglottis squamous carcinoma. This procedure consists of resection of the thyroid cartilage, epiglottis and the entire preepiglottic space.
Methods: Between 1990 and 1996, we used supraglottic laryngectomy to treat 40 patients with supraglottic carcinoma. The data were collected by a review of patient records and follow.up. The cancers were stages T1 (17 cases), T2 (17 cases) and T4 (6 cases) according to the 1987 UICC on cancer staging criteria.
Results: 12 lpsilateral and one bilateral functional neck dissection were operated simultaneously. Of which 7 patients had metastasis in lymph nodes. No patient died postoperatively. Only 8 (20%) had slight aspiration before the 20th day. All patients had decannulated. 29 cases received radiotherapy and chemotherapy. A follow-up analysis showed survived rate of 74% at 3 years.
Conclusion: We propose supraglotttc iaryngectomy for the surgical treatment of early supraglottic carcinomas, which could acquire almost normal laryngeal function.
Methods: Between 1990 and 1996, we used supraglottic laryngectomy to treat 40 patients with supraglottic carcinoma. The data were collected by a review of patient records and follow.up. The cancers were stages T1 (17 cases), T2 (17 cases) and T4 (6 cases) according to the 1987 UICC on cancer staging criteria.
Results: 12 lpsilateral and one bilateral functional neck dissection were operated simultaneously. Of which 7 patients had metastasis in lymph nodes. No patient died postoperatively. Only 8 (20%) had slight aspiration before the 20th day. All patients had decannulated. 29 cases received radiotherapy and chemotherapy. A follow-up analysis showed survived rate of 74% at 3 years.
Conclusion: We propose supraglotttc iaryngectomy for the surgical treatment of early supraglottic carcinomas, which could acquire almost normal laryngeal function.
