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[Supraglottic horizontal partial laryngectomy].

X Guo1, Z Pan, S Fei

  • 1Department of Otorhinolaryngology, First Clinical College, China Medical University, Shenyang 110001, China. guo1xing@263.net

Zhonghua Er Bi Yan Hou Ke Za Zhi
|May 29, 2003
PubMed
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Supraglottic horizontal partial laryngectomy effectively treats laryngeal cancer, achieving high survival and decannulation rates. This procedure preserves crucial speech and swallowing functions in patients.

Area of Science:

  • Otolaryngology
  • Surgical Oncology

Context:

  • Supraglottic laryngeal carcinoma presents a significant challenge in head and neck oncology.
  • Surgical intervention is a primary modality for treating laryngeal malignancies.

Purpose:

  • To assess the long-term efficacy and functional outcomes of supraglottic horizontal partial laryngectomy.
  • To evaluate oncological control and laryngeal function preservation following this surgical technique.

Summary:

  • A cohort of 55 patients with supraglottic laryngeal cancer underwent supraglottic horizontal partial laryngectomy between 1986 and 1995.
  • The procedure demonstrated 3- and 5-year survival rates of 85% and 77%, respectively, with a 96% decannulation rate.
  • Patients generally regained good speech and swallowing function within 8-30 days, with minor complications like granulation in 4 cases.

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Impact:

  • Supraglottic horizontal partial laryngectomy offers a viable oncological solution for supraglottic laryngeal cancer.
  • The technique effectively balances disease eradication with the preservation of essential laryngeal functions, improving patient quality of life.