[Application of frontal-lateral laryngectomy in laryngeal cancer treatment].
OBJECTIVE
Thirty-eight patients of laryngeal cancer were treated by extended frontal-lateral laryngectomy and the results were evaluated.


METHODS
Thirty-eight patients with laryngeal cancer were treated by frontal-lateral laryngectomy and the laryngeal defects were reconstructed by epiglottic flap, bi-pedicle and bi-muscle flap and epiglottic flap plus bi-pedicle and bi-muscle flap from February 1988 to February 2000. There were 29 males and 9 females, ranging in age from 32 to 72 years old. Radical neck dissection was performed in 12 patients. 36 cases belonged to glottic cancer and 2 was superglottic cancer (T2 16, T3 22).


RESULTS
The aspiration was light and the majority of cases began to eat in 10-15 days after operation. The decannulation rate was 97.3% (37/38). Wound infection occurred in 3 cases, but pharyngocutaneous fistula was not found. The three and five years survival rates were 86.1% (31/36) and 83.9% (26/31) respectively.


CONCLUSIONS
This procedure present an ideal effect and is worthy to be recommended, but only the indication is limited.
Zhao
Rui-li
RL
Department of Otorhinolaryngology Head and Neck Surgery, Forth Hospital of Hebei Medical University, Shijiazhuang 050011, China. zhruili@163.com
Hu
Jun-lan
JL
Ge
Jun-heng
JH
Zhou
Wei-an
WA
D000328:Adult; D000368:Aged; D004825:Epiglottis / Q000601:surgery; D005260:Female; D005931:Glottis / Q000601:surgery; 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