[The surgical treatment for the epiglottic cancer extended to the base of tongue].

26 cases of the epiglottic cancer extended to the base of the tongue were studied retrospectively. Among them, 14 were male and 12 female. The age varied from 43 to 62. Besides two cases who underwent total laryngectomy, the other twenty-four were treated with supraglottic horizontal partial laryngectomy or horizontovertical subtotal laryngectomy and resection of part of base of the tongue. 11 cases received bilateral radical neck dissection (RND) and 10 cases unilateral RND simultenously. The results showed twenty-four cases had resumed speaking ability, twenty had been decannulated and restored the laryngeal functions. The 5-year survival rate was 57.9% (12/19). It was concluded that transpharyngeal approach was reasonable for supraglottic horizontal partial laryngectomy associated with the resection of the base of the tongue.