Epiglottic laryngoplasty after extended hemilaryngectomy for glottic cancer.
This paper reports the experience in the application of modified epiglottic laryngoplasty in 20 extended hemilaryngectomies for glottic carcinoma. The Kambic-Sedlacek-Tucker (K-S-T) technique using the epiglottis in glottic reconstruction can lead to early decannulation with an excellent airway, but a wide glottis formed after operation will increase the chance of aspiration and poor voice. Sphincteric function preservation of the glottis is a key point to success in partial laryngectomy. In order to prevent aspiration and to improve the quality of voice, the reconstructive technique as modified as follows: (1) Lateral margin of the epiglottis was sutured to the cricoid. (2) The superior edge of the epiglottis was lowered to reconstruct the ventricular band. (3) A cut was made at the anterior aspect of the epiglottis to reconstruct the anterior commissure. It is the experience of the authors that modified epiglottic laryngoplasty is better than the K-S-T technique for preservation of laryngeal function after extended hemilaryngectomy.
Nong
H T
HT
Affiliated Hospital, Guangxi Medical College, Nanning.
Mo
W
W
Huang
G W
GW
Chen
L
L
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000503:physiopathology / Q000601:surgery*; D005931:Glottis / Q000503:physiopathology; D006801:Humans; D007822:Laryngeal Neoplasms / Q000503:physiopathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods; D007830:Larynx / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010699:Phonation; D014833:Voice Quality