[Partial vertical laryngectomy with epiglottis reconstruction--Tucker technique].
OBJECTIVE
To evaluate the results of partial supracricoid laryngectomy with Tucker's reconstruction in T1b and T2 stages of glottic laryngocarcinoma.


METHODS
One hundred and thirty-nine patients received partial supracricoid laryngectomy with Tucker's reconstruction were analyzed, among them, 127 patients (T1b-48, T2-79) had never been treated, 12 patients with glottic cancer (Tr) recurred after radiotherapy or cordectomy. We calculate survival rate and evaluate the function of larynx according to the stage.


RESULTS
For carcinology: 5-years survival rate for T1, T2 and Tr stages was 91%, 86% and 64% respectively; 5-years local control rate for T1, T2 and Tr stages was 100%, 94% and 82% respectively. With respect to the laryngeal function, the rate of decannulation is 100%, the average duration of decannulation is 10 days. The rate of the oblation of the naso-gastric tube is 99.3%. Six patients had accepted gastrotomy with difficulty during the deglutition of liquids; 1 patient had to have total laryngectomy because of incurable disorder of the deglutition. The time of the ablation of the naso-gastric tube is 15 days on average. One hundred and twenty-one patients (87%) presentented a satisfactory voice and only 18 patients have a medium voice quality.


CONCLUSIONS
Tucker technique is a reliable intervention on the carcinology and laryngeal function for the glottic lesions of T1b and T2.
Yu
Ping
P
Institute of Otorhinolaryngology, Chinese PLA General Hospital, Beijing, 100853, China. yuping1207@yahoo.com.cn
Antoine
Giovanni
G
Bruno
Guelfucci
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004825:Epiglottis / Q000601:surgery*; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D014827:Vocal Cords / Q000601:surgery