[Clinical observation of curative effect of neartotal larynegectomy for advance laryngeal cancer].
OBJECTIVE
To explore a method how to preserve the speech function affer larynegectomy for advance laryngeal cancer and to improve the patients' life quality.


METHODS
17 cases with advance laryngeal cancer (T3 11 cases, T4 6 cases, glottic region 8 cases, supraglottic region 5 cases, pyriform recess 4 cases) were treated with neartotal larynegectomy (Pearson operation) in our department from February 1990 to July 1995. In the operations the remained monolateral arytenoid cartilage and an about 1.5 cm-wide mucomembranous flap, which joined to trachea, reconstructed vocal duct, lymphoglandulae near the branch of neck artery were checked routinely in those N0 cases, and the radical neck dissection was taken or not according the result of frozen section.


RESULTS
After the operation good speech function was obtained in 12 cases. All patients, except one, had good swallowing. Survival rate of 2, 3 and 5 year was 70.6%, 64.2% and 50% respectively.


CONCLUSIONS
It is key that neck dissection should be performed rightly and the principle of surgery should be carried out for successful Pearson operation.
Wang
B
B
Department of ENT, First Clinical Medical College, Shanxi Medical University, Taiyuan 030001.
Huangpu
H
H
Liu
D
D
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010699:Phonation; D015996:Survival Rate; D016896:Treatment Outcome