[Analysis of vertical partial laryngectomy for carcinoma of the larynx].
OBJECTIVE
To evaluate the effect of vertical partial laryngectomy in the treatment of laryngocarcinoma.


METHODS
50 patients who underwent vertical partial laryngectomy from 1979 to 1997 were retrospectively reviewed. The reconstruction methods for the laryngeal defect were the pedicle muscular flap, skin graft, cervical skin flap, hypopharyngeal mucous membrane flap and outer perichondrium of the thyroid cartilage etc.


RESULTS
Postoperative decannulation rate was 98.0%. The overall 3-, 5- and 10-year survival rates were 89.6%, 82.9%, 66.7% respectively. Among all the deaths, 4 died of recurrence of laryngocarcinoma, 1 distant metastasis, 1 other carcinoma and 5 intercurrent disease.


CONCLUSIONS
Vertical partial laryngectomy is effective in treating laryngocarcinoma. Anesthesia, resecting limits and the reconstruction methods for the laryngeal defect also affect the curative results.
Yin
Jinshu
J
Department of Otorhinolaryngology, Railway General Hospital, Beijing 100038.
Zhou
Xiaohong
X
Peng
Hong
H
Liu
Sufu
S
Song
Faquan
F
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps