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[A clinical evaluation on supracricoid partial laryngectomy with laryngoplasty]
Feng Yu1, Yuli Dong, Yuefeng Han
1Department of Otorhinolaryngology, Affiliated Hospital of Bengbu Medical University, Bengbu 233004, China. jyl606@263.net
Objective:
To evaluate the results of supracricoid partial laryngectomy with laryngoplasty in treating laryngeal cancer and reconstructing its functions.
Methods:
One hundred and fifty-nine patients receiving subtotal laryngectomy from 1993 to 1999 were analysed. 4 kinds of operations were performed for them. 46 cases underwent supracricoid partial laryngectomy with the reconstruction of laryngeal function by pedicled flaps.
Results:
Among the 46 cases receiving supracricoid partiallaryngectomy with laryngoplasty, aspiration did not occur in 40 cases. The decannulation rate was 91.3%, 3, 5 year survival rates were 84.8%, 75%. 41 cases resumed enjoyed satisfactory phonation.
Conclusion:
This form of laryngeal reconstruction in supraericoid partial laryngectomy with laryngoplasty is helpful to restore laryngeal function. It can prevent aspiration and improve the decannulation rate as well as the quality of life in partial laryngectomy patients.