[A clinical evaluation on reconstruction in extended partial laryngectomy for transglottic cancer].

Abstract

OBJECTIVE:

Transglottic cancer has been a definite indication for total laryngectomy in decades, compromising function of the larynx. The purpose of this study is to present a new radical surgery of extended partial laryngectomy and reconstruction to restore the essential function of larynx.

METHODS:

Forty-one cases of transglottic cancer were treated by extended vertical laryngectomy (26/41), extended frontolateral laryngectomy (5/41) and subtotal laryngectomy (10/41); the defects of larynx were reconstructed by rotary door myocutaneous flap in twenty-seven cases, by sternohyoideus flap in seven cases, by osteomuscular flap in five cases and by sternocleidomastoid flap in two cases.

RESULTS:

The 3 and 5 year survival rates were 85.7% (30/35) and 74.1% (20/27) respectively, those for stage III were 84.6% (22/26) and 76.2% (16/21), for stage IV were 3/4 and 1/2 respectively. All cases resumed acceptable voice, 92.7% (38/41) and enjoyed satisfactory phonation. The over-all decannulation rate was 87.8% (36/41), those with rotary door myocutaneous flap was 96.3% (26/27), with sternohyoideus flap was 5/7, with osteomuscular flap was 4/5 and with sternocleidomastoid flap was 1/2. All patients had normal swallow function.

CONCLUSION:

Extended partial laryngectomy is a kind of radical operation in selected cases of transglottic cancer. The method of reconstruction with rotary door myocutaneous flap can improve curative effect and the essential functions of the larynx.

• Authors: S Zhao, Q Ye, A Sun, H Wang, J Lang, S Lin, J Wu, J Fan, J Liao, Y Peng, S Lu, B Xiao
• Journal: Zhonghua er bi yan hou ke za zhi (Zhonghua Er Bi Yan Hou Ke Za Zhi) Vol. 36 Issue 3 Pg. 216-9 (Jun 2001) ISSN: 0412-3948 [Print] China
• PMID: 12761929 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Female
• Glottis (surgery)
• Humans
• Laryngeal Neoplasms (surgery)
• Laryngectomy (methods)
• Male
• Middle Aged
• Plastic Surgery Procedures
• Surgical Flaps
• Treatment Outcome