title: [Surgical methods and clinical analysis of early-stage glottic carcinoma involved anterior commissure].
abstract: OBJECTIVE
  To explore the surgical methods for management of early-stage glottic carcinoma involved anterior commissure.
  
  
  METHODS
  Fifty-eight cases of early-stage glottic carcinoma (T1, n = 23; T2, n = 35) treated with vertical frontolateral partial laryngectomy and frontal partial laryngectomy or modified window partial laryngectomy without tracheostomy were retrospectively reviewed.
  
  
  RESULTS
  All patients can swallow smoothly and phonate clearly after operation. And the extubation rate with vertical fronto vertical partial laryngectomy is 97.2%. Tracheostomy was performed in one case after operation because of dyspnea. The most common postoperative complication was subcutaneous emphysema which developed postoperatively in 6 patients, but subsided after discharge. Follow-up was conducted for 8 months to 7 years, recurrence was observed in 3 cases. The 3 and 5 year survival rates were 97.5% and 91.8% respectively.
  
  
  CONCLUSIONS
  To choose the optimal surgical method for patients with early-stage glottic carcinoma not only can reduce the risk of recurrence but also can save the laryngeal function and thus improves the quality of life.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, Second Affiliated Hospital of Nanchang University, Nanchang 330006, China. liuhb1992@163.com
authors.forename: Hongbing
authors.initials: H
authors.lastname: Liu
authors.forename: Yuehui
authors.initials: Y
authors.lastname: Liu
authors.forename: Ying
authors.initials: Y
authors.lastname: Luo
authors.forename: Shaorong
authors.initials: S
authors.lastname: Zhang
authors.forename: Chunping
authors.initials: C
authors.lastname: Yang
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D005260:Female; D005931:Glottis / Q000473:pathology; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D007830:Larynx / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014139:Tracheostomy