[Modified frontolateral partial larnygectomy without tracheostomy for early laryngeal cancer of the true vocal cord].
OBJECTIVE
To investigate the feasibility of modified frontolateral partial laryngectomy without tracheostomy in the treatment for early laryngeal cancer or severe atypical hyperplasia of the true vocal cord.


METHODS
A retrospective analysis of 41 patients treated in the past 6 years with modified frontolateral partial laryngectomy without tracheostomy was carried out. There were 39 early laryngeal cancers of the lateral vocal cord with 34 in T1a stage and 5 in T2, and the remain 2 patients had severe atypical hyperplasia of the lateral vocal cord. An ipsilateral false vocal cord flap was used in 39 patients and cervical skin flap in 2 to reconstruct the defect after resection of the true vocal cord. In order to get a large laryngeal cavity, a reverted sternohyoid fascia was used to cover the front area, which made the new laryngeal lumen become ladder-shaped.


RESULTS
The incisions of all 41 patients healed up by first intention. The only postoperative complication was subcutaneous emphysema, which developed postoperatively in 9 patients, but subsided prior to discharge. The estimated 1-, 3- and 5-year survival rates were all 100%. No patients died during the postoperative period.


CONCLUSIONS
Modified frontolateral partial laryngectomy without tracheostomy is effective with a high rate of success in eradicating early or selected invasive glottic squamous cell carcinoma or severe atypical hyperplasia of the true vocal cord.
Dong
Pin
P
Department of Otolaryngology and Head & Neck Surgery, First Shanghai People's Hospital, Shanghai Jiao Tong University, Shanghai 200080, China.
Wang
Qiang
Q
Li
Xiao-Yan
XY
Li
Li
L
Chen
Li
L
Wang
Guo-Liang
GL
Chen
Xin-Wei
XW
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D004646:Emphysema / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011230:Precancerous Conditions / Q000601:surgery; D012189:Retrospective Studies; D013524:Surgical Flaps; D015996:Survival Rate; D014827:Vocal Cords