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[Preservative surgery of T3 glottic cancer: 75 cases report]
Liqiang Zhang1, Xinyong Luan, Xinliang Pan
1Department of Otolaryngology, Qilu Hospital of Shandong University, Jinan 250012.
Objective:
To explore the methods of surgery and evaluate the long-term results of preservative surgery for T3 glottic cancer.
Method:
Seventy-five cases with T3 glottic cancer were treated surgically from 1989 to 1999. The lesions were removed entirely, the epiglottis, bi-pedicled myoperichondral flap, platysma myocutaneous flap, sternohyoid myofascial flap, platysma myofascial flap, thyroid perichondral flap were utilized to restore the defects of larynx and reconstruct the laryngeal functions.
Result:
The 3- and 5-year survival rates were 83.2% and 73.6% in all cases, 82.7% had all laryngeal functions (voice, respiration and deglutition) restored and 17.3% partially restored(voice and deglutition).
Conclusion:
Preservative surgery can be carried out for T3 glottic cancer with the lesions entirely removed. Choosing and following what is optimum from multiple feasible surgical methods is a prerequisite for better laryngeal functions.
