[The reconstruction of laryngeal function in subtotal laryngectomy with preservation of arytenoid cartilage].
OBJECTIVE
To evaluate subtotal laryngectomy with preservation of arytenoid cartilage to reconstruct laryngeal function in T3 glottic or supraglottic laryngeal cancer.


METHODS
Subtotal laryngectomy with preservation of arytenoid cartilage to reconstruct laryngeal function was reviewed in 20 patients with T3 laryngeal cancer(3 cases with glottic cancer and 17 cases with supraglottic cancer). Recurrent laryngeal nerve was preserved during surgery. The mucous membranes between cricoid cartilage and pharynx were sewed up accordingly.


RESULTS
All patients had restored phonation and swallowing functions. The 3- and 5-year survival rates were 94.1% and 91.8% respectively. Decannulation rate was 95.0%.


CONCLUSIONS
Subtotal laryngectomy with preservation of arytenoid cartilage is recommended for T3 laryngeal cancer.
Zhou
L
L
Department of Otorhinolaryngology, General Hospital of Shengyang Military Region, Shengyang 110015.
Song
Y
Y
Geng
D
D
D000368:Aged; D001193:Arytenoid Cartilage / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D015996:Survival Rate; D016896:Treatment Outcome