[Extended vertical partial laryngectomy for treatment of the glottic cancer with T3 category]

From June 1981 to December 1992, 32 patients of glottic cancer with T3 category were treated by extended vertical partial laryngectomy, i.e. vertical laryngectomy plus the resection of the arytenoid and part of the cricoid plate. The laryngeal defect was reconstructed by an osteomuscular flap. The 3- and 5-year survival rates were 78.1% and 73.9% respectively. The decannulation rate was 81.3%. The voice was satisfactory in 84.3%. All patients resumed mouth-food-taking. The authors conclude that selective glottic cancer of T3 category treated with extended vertical partial laryngectomy, which preserves the functions of the larynx and improves the quality of the life, is feasible and acceptable.