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[Laryngeal reconstruction after near-total laryngectomy]
Objective:
To reduce the rate of near-total laryngectomy and reconstruct laryngeal function.
Method:
A retrospective review was made on 19 patients treated by near-total laryngectomy and laryngeal reconstruction from 1991 to 1996. Eight patients were male and 11 were female. The age range was from 40 to 74 years, with a mean age of 57.6. Two cases were in stage II, 9 cases stage III, 8 cases stage IV. The characteristic of this operation is to remove hyoid bone and reduce aspiration.
Results:
Speech function in all patients was good. Deglutition in most patients was good. Five patients breathed through the larynx after decannulation. Fourteen patients respired through tracheostoma because of stenosis of laryngeal cavity. Among them, 10 cases did not need cannula for their wide tracheostomas, 4 cases needed cannula. Three-year survival rate was 78.6%(11/14), 5-year survival rate was 75%(3/4).
Conclusion:
Laryngeal reconstruction near-total laryngectomy is helpful to restore laryngeal function and decrease the rate of total laryngectomy.