title: [A clinical evaluation on reconstruction in extended partial laryngectomy for transglottic cancer].
abstract: OBJECTIVE
  Transglottic cancer has been a definite indication for total laryngectomy in decades, compromising function of the larynx. The purpose of this study is to present a new radical surgery of extended partial laryngectomy and reconstruction to restore the essential function of larynx.
  
  
  METHODS
  Forty-one cases of transglottic cancer were treated by extended vertical laryngectomy (26/41), extended frontolateral laryngectomy (5/41) and subtotal laryngectomy (10/41); the defects of larynx were reconstructed by rotary door myocutaneous flap in twenty-seven cases, by sternohyoideus flap in seven cases, by osteomuscular flap in five cases and by sternocleidomastoid flap in two cases.
  
  
  RESULTS
  The 3 and 5 year survival rates were 85.7% (30/35) and 74.1% (20/27) respectively, those for stage III were 84.6% (22/26) and 76.2% (16/21), for stage IV were 3/4 and 1/2 respectively. All cases resumed acceptable voice, 92.7% (38/41) and enjoyed satisfactory phonation. The over-all decannulation rate was 87.8% (36/41), those with rotary door myocutaneous flap was 96.3% (26/27), with sternohyoideus flap was 5/7, with osteomuscular flap was 4/5 and with sternocleidomastoid flap was 1/2. All patients had normal swallow function.
  
  
  CONCLUSIONS
  Extended partial laryngectomy is a kind of radical operation in selected cases of transglottic cancer. The method of reconstruction with rotary door myocutaneous flap can improve curative effect and the essential functions of the larynx.
authors.affiliation: Department of Otorhinolaryngology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China. zhaoshw@citiz.net
authors.forename: S
authors.initials: S
authors.lastname: Zhao
authors.forename: Q
authors.initials: Q
authors.lastname: Ye
authors.forename: A
authors.initials: A
authors.lastname: Sun
authors.forename: H
authors.initials: H
authors.lastname: Wang
authors.forename: J
authors.initials: J
authors.lastname: Lang
authors.forename: S
authors.initials: S
authors.lastname: Lin
authors.forename: J
authors.initials: J
authors.lastname: Wu
authors.forename: J
authors.initials: J
authors.lastname: Fan
authors.forename: J
authors.initials: J
authors.lastname: Liao
authors.forename: Y
authors.initials: Y
authors.lastname: Peng
authors.forename: S
authors.initials: S
authors.lastname: Lu
authors.forename: B
authors.initials: B
authors.lastname: Xiao
mesh_terms: D000328:Adult; D000368:Aged; 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; D013524:Surgical Flaps; D016896:Treatment Outcome