[Pearson technique in the treatment of advanced laryngeal cancer].

OBJECTIVE

To seek for a better method of treating the advanced laryngeal cancer.

METHOD: Twenty-eight cases of advanced laryngeal cancer were treated with near-total laryngectomy(Pearson technique), including 11 glottic cancers(III stage, 8 cases: IV stage, 3 cases), 17 supraglottic cancers (III stage, 13 cases; IV stage, 4 cases). In the same time 26 patients had neck node dissections. All the cases had speech function reconstructions.

RESULT: The speech function was obtained in 27/28(96.4%). All cases had good swallowing, 3-year survival rate is 78.6%, 5-year survival rate is 68.4%.

CONCLUSION

Near-total laryngectomy can be used in most cases that might be treated with traditional total laryngectomy in the past. It can provide satisfied survival rate, good swallowing, better speech function, but breath function.