Zhonghua zhong liu za zhi [Chinese journal of oncology] · 1998
[Supraglottic horizontal laryngectomy for supraglottic carcinoma].
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Xu Z, Tu G, Tang P
Аннотация
OBJECTIVE: To evaluate the therapeutic results of supraglottic horizontal laryngectomy (SHL) for T1 and selected T2, T3 and T4 supraglottic carcinoma.
METHODS: One hundred and seven patients undergone SHL during the period of 1979 through 1991 were reviewed retrospectively. All patients were followed up for at least 5 years.
RESULTS: The 5 year-survival rate of 6 cases in stage I, 24 cases in stage II, 53 cases in stage III, and 24 cases in stage IV was 100.0%, 83.3%, 71.7% and 41.7%, respectively. Of the 102 patients, 92.2% were decannulated, and 91.6% of all patients achieved satisfactory recovery of phonation.
CONCLUSION: SHL is a reliable surgical approach for selected supraglottic carcinoma, even for some advanced lesions, provided the tumor has not extended below the ventricle. The upper neck dissection can be used as an exploratory measure. For N0 neck patients with supraglottic cancer, comprehensive neck dissection is not invariably performed to avoid overtreatment.
METHODS: One hundred and seven patients undergone SHL during the period of 1979 through 1991 were reviewed retrospectively. All patients were followed up for at least 5 years.
RESULTS: The 5 year-survival rate of 6 cases in stage I, 24 cases in stage II, 53 cases in stage III, and 24 cases in stage IV was 100.0%, 83.3%, 71.7% and 41.7%, respectively. Of the 102 patients, 92.2% were decannulated, and 91.6% of all patients achieved satisfactory recovery of phonation.
CONCLUSION: SHL is a reliable surgical approach for selected supraglottic carcinoma, even for some advanced lesions, provided the tumor has not extended below the ventricle. The upper neck dissection can be used as an exploratory measure. For N0 neck patients with supraglottic cancer, comprehensive neck dissection is not invariably performed to avoid overtreatment.