[Supraglottic horizontal laryngectomy for supraglottic carcinoma].
OBJECTIVE
To evaluate the therapeutic results of supraglottic horizontal laryngectomy (SHL) for T1 and selected T2, T3 and T4 supraglottic carcinoma.


METHODS
One hundred and seven patients undergone SHL during the period of 1979 through 1991 were reviewed retrospectively. All patients were followed up for at least 5 years.


RESULTS
The 5 year-survival rate of 6 cases in stage I, 24 cases in stage II, 53 cases in stage III, and 24 cases in stage IV was 100.0%, 83.3%, 71.7% and 41.7%, respectively. Of the 102 patients, 92.2% were decannulated, and 91.6% of all patients achieved satisfactory recovery of phonation.


CONCLUSIONS
SHL is a reliable surgical approach for selected supraglottic carcinoma, even for some advanced lesions, provided the tumor has not extended below the ventricle. The upper neck dissection can be used as an exploratory measure. For N0 neck patients with supraglottic cancer, comprehensive neck dissection is not invariably performed to avoid overtreatment.
Department of Head and Neck Surgery, Cancer Institute (Hospital), Chinese Acadamy of Medical Sciences, Peking Union Medical College, Beijing.
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Tang
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D005931:Glottis / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate