[Conservative surgery for glottic cancer with vocal cord fixation (T3)].
OBJECTIVE
To study the method of reconstruction of laryngeal function by unilateral bi-pedicled and bi-muscular flaps for glottic cancer of T3 category.


METHODS
From 1984 to 1992, the unilateral bi-pedicled and bi-muscular flaps were used in 68 patients with T3 glottic cancer for repairing the surgical defect, enlarging the piriform recess on the affected side and closing the anterior wall of the laryngeal cavity after vertical laryngectomy.


RESULTS
The 5-year survival rate was 73.5% (50/68). The decannulation rate was 91.2% (62/68). sixty-three patients had satisfactory phonation (92.6%). All patients resumed mouth-food-taking within 7 to 20 days after operation.


CONCLUSIONS
The unilateral bi-pedicled and bi-muscular flaps are appropriate for reconstruction of surgical defect in T3 glottic cancer.
Gao
T
T
Department of Head and Neck Surgery, Shanxi Province Cancer Hospital, Taiyuan 030013.
Cui
Y
Y
Duan
D
D
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000601:surgery*; D005260:Female; D005931:Glottis / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D015996:Survival Rate; D016896:Treatment Outcome