[Improvements of laryngectomy cricopharyngeal anastomosis laryngeal reconstruction (report of 27 cases)].

To alleviate the deglutition and increase decannulation rate in Arslan's operation, 27 patients who had undergone laryngectomy cricopharyngeal anastomosis reconstruction from 1989 to 1995 in our hospital were reported. There were T1bN0 8 cases, T2N0 17 cases, T3N0 2 cases according to UICC staging in 1987. All lesions located in vocale cords bilaterally. On the side of the mild lesion, over half of the vocale cord was invaded. The main points of surgical procedure were that the epiglottic and cricoid cartilage were restored. Hyoid bone and arytenoid cartilages were resected and cricoid cartilage anastomosis with the base of the tongue and submental muscles. Phonation was restored in all postoperative patients. Deglutition was alleviated significantly. Decannulation rate was 92.6% (25/27). The follow-up period of 14 cases was over 3 years. Of the 14 cases, 1 died. The 3 years survival rate was 92.86% (13/14). The follow-up period of 6 cases was over 5 years. Of the 6 cases, 1 was lost, the 5 years survival rate was 83.33% (5/6). The operation has great effects on alleviating deglutition and increasing decannulation rate.