[Supracricoid reconstructive laryngectomy with cricohyoidopexy and cricohyoidoepiglottopexy].
On the base of the personal material, comprising 19 patients with glotto-supraglottic cancer, an operative technique on supracricoid reconstructive laryngectomy with CHP and CHEP has been presented. The data achieved within 3 years allowed to evaluation of preliminary oncological and functional results. In the group of 19 operated patients, one case of local recurrence was found. Cervical recurrence was observed in 2 persons in the first year after the operative treatment. No remote metastases and secondary neoplastic++ focus were found in the digestive and respiratory tract. One patient died of massive pneumonia in the course of disturbances in deglutition. The most difficult problem of the postoperative period in the cases of CHP were the disturbances in deglutition. For that reason pneumonia was observed in 4 patients. Nasogastric tube was left in place for a mean time of 20 to 60 days. All CHEP patients were decannulated and 5 ones out of 14 persons group after the operation of CHP remain with tracheotomy tube.
Szmeja
Z
Z
Kliniki Otolaryngologii Akademii Medycznej Poznaniu.
Szyfter
W
W
Golusiński
W
W
Kruk-Zagajewska
A
A
Brocki
K
K
D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D003413:Cricoid Cartilage / Q000601:surgery*; D003680:Deglutition Disorders / Q000209:etiology; D004825:Epiglottis / Q000601:surgery*; D005260:Female; D006801:Humans; D006928:Hyoid Bone / Q000601:surgery*; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology
Nadpierścieniowata laryngektomia rekonstrukcyjna z cricohyoidopexia (CHP) i cricohyoidoepiglottopexia (CHEP).