扩大喉环状软骨上部分切除及喉功能重建术

目的:对扩大喉环状软骨上部分切除及喉功能重建术的手术方法、适应证及喉功能恢复情况等进行探讨。方法:2000~2005年对10例向声门前下侵犯达10~20mm的T3、T4喉癌患者施行扩大环状软骨上部分喉切除及喉功能重建术。结果:9例患者均无瘤生存并仍在随访中,1例患者术后4年颈部转移癌复发死亡。所有患者术后均恢复了正常的呼吸、吞咽及维持声门下压的功能,术后发声也令人满意。结论:只要严格掌握手术适应证,对部分向声门前下侵犯达10~20mm的喉癌患者实施治疗,该术式确实能取代全喉切除术。

Extended supracricoid partial laryngectomy with tracheocricohyoidoepiglottopexy and tracheocricohyoidoglottopexy

Objective:To investigate the surgical procedure and indication of the Extended supracricoid partial laryngectomy with tracheocricohyoidoepiglottopexy and tracheocricohyoidoglottopexy (ESCPL TCHEP/TCHP) as well as the rehabilitation of laryngeal functions. Method:ESCPL TCHEP/TCHP were conducted in 10 cases with laryngeal carcinoma of T3 and T4 stages with subglottic invasion for 10~20 mm from 2000 to 2005.Result:All the 10 cases, 9 of them have survived until now and still be followed up. 1 of them succumbed to the recurrence of cervical lymph node metastasis 4 years after the surgery. Normal respiration, deglutition and the function of maintaining subglottic pressure were recovered in all the case. Postoperative phonation was also satisfactory among all of them. Conclusion:If handle the surgical indication strictly, to some cases of laryngeal carcinoma with subglottic invasion for 10~20 mm, this surgical technique could replace the total laryngectomy.