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[Partial laryngectomy for T3 glottic carcinoma]
1Department of Otorhinolaryngology, Fourth Affiliated Hospital, Hebei Medical University, Shijiazhuang 050011, China.
Objective:
To explore the possibility of partial laryngectomy for T3 glottic carcinoma and selection of reconstruction methods.
Methods:
From January 1986 to January 1994, 78 patients with T3 glottic carcinomas were treated by partial laryngectomy. The operative techniques and the reconstruction methods were retrospectively analyzed.
Results:
The overall 3 and 5 years survival rates were 88.5% and 75.6% respectively. The local recurrence rate was 15.4%. The reconstruction methods for laryngeal defect repariring following partial laryngectomy were the use of pyriform sinus mucosa with thyroid perichondrium, epiglottic cartilage and bi-pedicaled and bi-muscular flap of strap muscle. The function of respiration, phonation and deglutition recovered well.
Conclusion:
The partial laryngectomy is suitable for T3 glottic carcinoma. The selection of reconstruction method is based on the size of laryngeal defect.