title: [Surgical treatment of postcricoid carcinoma].
abstract: OBJECTIVE
  To explore the surgical techniques in surgical treatment of postcricoid carcinoma.
  
  
  METHODS
  Twenty-one cases with postcricoid carcinoma were treated surgically. The TNM stage were as follows: T3NOM0 5 cases, T3N1M0 1 case, T3N2M0 2 cases, T4NOM0 7 cases, T4N1M0 4 cases, T4N2M0 1 case, T4N3M0 1 case. The laryngeal and pharyngeal functions were rebuilt by the remaining tissue when the lesions entirely removed. Ten cases were surgically treated with laryngeal functions preserved and 11 cases with total laryngectomy. Eight cases were received unilateral neck dissection, and 3 cases were received bilateral neck dissection. All the cases received postoperative radiotherapy.
  
  
  RESULTS
  The follow-up interval varied from 60 to 276 months with average interval 96 months. Four cases died of cervical metastasis,3 died of local recurrence, 1 died of cardiopulmonary failure, 2 died of unknown reasons. The overall 3 and 5 year survival rates were 61.9% (13/21) and 52.4% (11/21), respectively. Among 10 cases having laryngeal functions partially restored (voice and deglutition), the postoperative complications included 5 cases of pharyngeal fistula, 3 hypopharyngeal stenosis and 1 severe aspiration.
  
  
  CONCLUSIONS
  The preservative surgery is feasible for the selected cases with postcricoid carcinoma. The laryngeal function can be partially restored with lesions entirely removed. The patients can gain satisfied survival rate and quality of life.
authors.affiliation: Department of Otorhinolaryngology, Qilu Hospital of Shandong University, Jinan 250012, China.
authors.forename: Xue-zhong
authors.initials: XZ
authors.lastname: Li
authors.forename: Li-qiang
authors.initials: LQ
authors.lastname: Zhang
authors.forename: Xin-liang
authors.initials: XL
authors.lastname: Pan
authors.forename: Guang
authors.initials: G
authors.lastname: Xie
authors.forename: Da-peng
authors.initials: DP
authors.lastname: Lei
authors.forename: Xin-yong
authors.initials: XY
authors.lastname: Luan
authors.forename: Tian-duo
authors.initials: TD
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000601:surgery*; D003413:Cricoid Cartilage; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D015996:Survival Rate