title: [Surgical management of supraglottic laryngeal carcinoma in 182 patients with special emphasis on functional preservation].
abstract: OBJECTIVE
  To explore the surgical methods and evaluate the long-term result of laryngectomy in patients with supraglottic laryngeal cancer.
  
  
  METHODS
  182 patients with supraglottic laryngeal carcinoma underwent operation from 1979 to 1999, with stage I 11, stage II 45, stage III 49 and stage IV 77 lesions. The choice of surgical procedure was decided with the disease condition of the larynx. The surgical procedures proposed by TD Wang were adhered to as: minor partial laryngectomy 36, major partial laryngectomy 85, subtotal partial laryngectomy with laryngoplasty 22 and total laryngectomy 39.
  
  
  RESULTS
  The ultimate rate of larynx preservation was 78.6% (143/182) with 69.8% (88/126) in stage III and IV diseases. The decannulation rate was 81.8% in cases with preservation of laryngeal function. The overall 3- and 5-year survival rates were 82.9% and 67.3%, with 76.88% and 57.4% in the advanced (stage III and IV) cases who survived with preserved laryngeal function. They were 82.5% and 67.0% in similar advanced cases who were treated by total laryngectomy. The difference in the survival rates between these two groups was not statistically significant.
  
  
  CONCLUSIONS
  It is suggested that preservation of the laryngeal function be possible for advanced supraglottic laryngeal carcinoma without compromising the remote survival rate. To improve the rate of larynx preservation, one should follow the surgical methods suggested.
authors.affiliation: Department of Otorhinolaryngology, Qilu Hospital, Shandong University, Jinan 250012, China.
authors.forename: Liqiang
authors.initials: L
authors.lastname: Zhang
authors.forename: Xinyong
authors.initials: X
authors.lastname: Luan
authors.forename: Xinliang
authors.initials: X
authors.lastname: Pan
authors.forename: Guang
authors.initials: G
authors.lastname: Xie
authors.forename: Fenglei
authors.initials: F
authors.lastname: Xu
authors.forename: Dali
authors.initials: D
authors.lastname: Liu
authors.forename: Dapeng
authors.initials: D
authors.lastname: Lei
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D015996:Survival Rate; D016896:Treatment Outcome