[Supraglottic horizontal partial laryngectomy].
OBJECTIVE
To evaluate the long-term result of supraglottic horizontal partial laryngectomy.


METHODS
Fifty-five patients with supraglottic laryngeal carcinoma were treated surgically by supraglottic horizontal partial laryngectomy from 1986 to 1995. There were 32 males and 23 females with an average age of 56. Eleven cases were staged I, 26 staged II, 11 staged III and 7 staged IV. Closure of the surgical defect begins by covering the thyroid cartilage with mucosa of the medial wall of the pyriform sinus. The outer perichondrium of thyroid cartilage was approximated with the mucosa of laryngeal ventricle. The hyoid cartilage was excised. The base of tongue was sutured to the reserved thyroid cartilage to take the place of epiglottic cartilage.


RESULTS
The 3- and 5-year survival rates were 85% (47/55) and 77% (37/48) respectively. The decannulation rate was 96%. Most cases had acquired good speech and swallow function after 8-30 days. Complications included granulation and polyp formation at the base of tongue or at the anterior commissure in 4 cases.


CONCLUSIONS
Supraglottic horizontal partial laryngectomy is very effective both in eradicating disease and in preserving laryngeal function.
Guo
X
X
Department of Otorhinolaryngology, First Clinical College, China Medical University, Shenyang 110001, China. guo1xing@263.net
Pan
Z
Z
Fei
S
S
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D005931:Glottis / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D015996:Survival Rate; D016896:Treatment Outcome