Document Detail


Horizontovertical laryngectomy for supraglottic carcinoma.
MedLine Citation:
PMID:  9334778     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Recent decades have seen the expansion of indications for partial laryngectomy. This study focused on the application of horizontovertical laryngectomy for T2 and selected T3 and T4 supraglottic carcinomas. An osteomuscular flap was designed to reconstruct the laryngeal defect to preserve all the essential laryngeal functions. Seventy-six patients treated between November 1979 and October 1990 were reviewed retrospectively. All but two were followed up for at least 5 years. There were 11 cases of T2, 57 cases of T3, and 8 cases of T4 tumors. The survival rates of 7 cases of stage II, 56 cases of stage III, and 13 cases of stage IV carcinoma were 100%, 84.3%, and 74.3%, respectively. The functional recovery was satisfactory; 78.4% of 74 patients underwent decannulation, and all but one patient resumed a normal diet. This study showed that conservation surgery is reliable for selected supraglottic cancers, even for those lesions that extend beyond the confines of the supraglottis.
Authors:
G Y Tu; P Z Tang; C Y Jia
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  117     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-11-13     Completed Date:  1997-11-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  280-6     Citation Subset:  IM    
Affiliation:
College of Oncology, Peking Union Medical University, People's Republic of China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Bone Transplantation / methods
Carcinoma / pathology,  surgery*
Cause of Death
Deglutition / physiology
Diet
Female
Follow-Up Studies
Glottis / pathology,  surgery*
Humans
Laryngeal Neoplasms / pathology,  surgery*
Laryngectomy / adverse effects,  methods*,  rehabilitation
Laryngoscopy
Larynx / physiopathology,  surgery
Lymph Node Excision
Male
Middle Aged
Muscle, Skeletal / transplantation
Neoplasm Staging
Radiotherapy, Adjuvant
Reproducibility of Results
Respiration / physiology
Retrospective Studies
Speech / physiology
Surgical Flaps
Survival Rate
Tracheostomy
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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