Long-term effect of partial laryngectomy in laryngeal carcinoma patients
ZHOU Wen guang,ZHOU Mei,WANG Qiu ping,LI Ze qing,CHENG Xiang rong,WANG REI (Department of Otolaryngology, Jinling Hospital, Nanjing 210002,China)
Objectives: From the Oct. 1980 to the Oct. 1997,63 patients suffering from laryngeal carcinoma of various stages were surgically treated by different kinds of partial laryngetomy. Methods:Among them,19 cases were given laryngiofission combined with cordectomy,37 for vertical partial laryngectomy and 7 for horizontal partial laryngectomy.Of them,4 cases were performed functional neck dissection meanwhile,and 44 cases given postoperative radiotherapy. Results:The 3 year survival rates and 5 year survival rates were 81.8%(9/11),79.1%(34/43) respectively.All patients rehabilitated their deglutitory and phonatory function.The detubation rate was 92%. Conclusions:Proper hold of surgical indications and full realization of tumor invasion domain are essential to perform partial laryngectomy successfully.