[The reparation of tissular defect and reconstruction of laryngeal function in subtotal laryngectomy with pedicled cutaneous and musculocutaneous flaps].
OBJECTIVE
To explore the recovery of wounded surface and reconstruction of laryngeal function after subtotal laryngectomy.


METHODS
Thirty-three cases of subtotal laryngectomy were reviewed for analysis. The hyoid bone, most part of thyroid cartilage and the gap before epiglottis exsected while arytenoids cartilage of one side, 1/3 thyroid cartilage and 1/3 true vocal cord were reserved in the subtotal laryngectomy operation. And pedicled cutaneous flap of one side and pedicled musculocutaneous flap of the other side were used to rehabilitate the wounded surface and reconstruct the laryngeal function.


RESULTS
The function of respiration and swallowing resumed in all cases, 93.9% patients got normal pronunciation function after windpipe casing pulled out. Three-year survival rate was 89.3% and five-year survival rate was 78.6%.


CONCLUSIONS
The results demonstrated our method has such advantages as follows: being easy to get material, having good vascular circle, laryngeal narrow seldom happened, shortening the time with windpipe casing and improving the quality of life.
D000328:Adult; D000368:Aged; D003679:Deglutition; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D015996:Survival Rate; D014831:Voice