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[Analysis of vertical partial laryngectomy for carcinoma of the larynx]
Jinshu Yin1, Xiaohong Zhou, Hong Peng
1Department of Otorhinolaryngology, Railway General Hospital, Beijing 100038.
Objective:
To evaluate the effect of vertical partial laryngectomy in the treatment of laryngocarcinoma.
Method:
50 patients who underwent vertical partial laryngectomy from 1979 to 1997 were retrospectively reviewed. The reconstruction methods for the laryngeal defect were the pedicle muscular flap, skin graft, cervical skin flap, hypopharyngeal mucous membrane flap and outer perichondrium of the thyroid cartilage etc.
Result:
Postoperative decannulation rate was 98.0%. The overall 3-, 5- and 10-year survival rates were 89.6%, 82.9%, 66.7% respectively. Among all the deaths, 4 died of recurrence of laryngocarcinoma, 1 distant metastasis, 1 other carcinoma and 5 intercurrent disease.
Conclusion:
Vertical partial laryngectomy is effective in treating laryngocarcinoma. Anesthesia, resecting limits and the reconstruction methods for the laryngeal defect also affect the curative results.
