Partial Horizontal Laryngectomy and Epiglottiplasty

• Published in: Journal of Huazhong University of Science and Technology. Medical sciences Vol. 26; no. 1; pp. 108 - 110
• Main Author: 皇甫辉 王斌权 孔维佳 龚树生 温树信
• Format: Journal Article
• Language: English
• Published: China Department of Otorhinolaryngology , Union Hospital , Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China 2006; First Hospital of Shanxi Medical University, Taiyuan 030001 , China%First Hospital of Shanxi Medical University, Taiyuan 030001 , China%Department of Otorhinolaryngology , Union Hospital , Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
• Subjects: Carcinoma, Squamous Cell - surgery; Epiglottis - surgery; Humans; Hypopharyngeal Neoplasms - surgery; Laryngeal Neoplasms - surgery; Laryngectomy - methods; Otorhinolaryngologic Surgical Procedures - methods; 喉切除术; 生物材料; 病理机制; partial laryngectomy; plastic operation; hypopharyngeal carcinoma; laryngocarcinoma
• ISSN: 1672-0733; 1993-1352
• DOI: 10.1007/BF02828053

In order to evaluate the availability of the lateral horizontal laryngectomy and anaplasty of epiglottis to treat some patients with specific supraglottic carcinomas and hypopharyngeal carcinomas, 17 cases of laryngeal and hypopharyngeal carcinomas were retrospectively analyzed, whose tumors were located at the lateral margin of epiglottis, aryepiglottic fold, medial wall of piriform fossa and were treated by the lateral horizontal laryngectomy and anaplasty of epiglottis. The results showed that all cases took food by mouth in postoperative 9-14 days and subjected to decannulation in postoperative 9-15 days. Three cases had postoperative hoarse voice. The free-disease survival rate of 3 years was 71.4 % in 14 cases followed up after the first surgical therapy, and the overall free-disease survival rate of 3 years was 85.7 % after the second surgical therapy. It was concluded that the manipulations of the lateral horizontal laryngectomy and epiglottiplasty were simple. It could alleviate the postoperative symptoms of aspiration and bucking remarkably and shorten their postoperative recovery time, yet does not lower the survival rate of patients if laryngocarcinoma or hypopharyngeal carcinoma cases were properly selected.