[Study of the reconstruction methods after vertical partial laryngectomy for glottic carcinoma of the larynx]
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1Department of Otorhinolaryngology, Nanjing Railway Medical College, Nanjing 210009.
Objective:
To study the reconstruction methods after vertical partial laryngectomy for glottic carcinoma of the larynx.
Method:
58 cases with glottic carcinoma of the larynx were treated with vertical partial laryngectomy or extended vertical partial laryngectomy. The clinical materials of these cases were retrospectively studied.
Result:
The total decannulation rate was 93.1% and the 3- and 5-year survival rates were 87.2% and 80.5% respectively. The voice was socially acceptable in 93.1%(54/58) of the patients. Aspiration was only 3. All resumed mouth-food-taking.
Conclusion:
The reconstruction methods after vertical partial laryngectomy were mainly decided by the extent of the laryngeal defect. If the laryngeal defect of the framework was small, the pedicle muscular flap was the best reconstruction method in comparison with other reconstruction methods. If the laryngeal defect of the framework was too big, allograft nasal septal cartilage or epiglottic laryngoplasty should be performed.
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