喉癌声门型 T3的功能保全手术

目的 探讨双蒂双肌瓣在喉癌声门型Ｔ３病变切除后的喉功能重建。方法 １９８４￣１９９２年共６８例，应用单侧双蒂双肌瓣修复声门型Ｔ３病变切除后的创面，并成形和扩大患侧梨状窝，关闭喉腔前壁。结果 ５年生存率为７３．５％（５０／６８），拨管率为９１．２％（６２／６８），发声良好者占９２．６％（６３／６８），所有患者均在７￣２０天后恢复经口进食。结论 单侧双蒂双肌瓣对声门型Ｔ３病变行喉扩大垂直部分切除术后的

Conservative surgery for glottic cancer with vocal cord fixation (T3)]

OBJECTIVE: To study the method of reconstruction of laryngeal function by unilateral bi-pedicled and bi-muscular flaps for glottic cancer of T3 category. METHODS: From 1984 to 1992, the unilateral bi-pedicled and bi-muscular flaps were used in 68 patients with T3 glottic cancer for repairing the surgical defect, enlarging the piriform recess on the affected side and closing the anterior wall of the laryngeal cavity after vertical laryngectomy. RESULTS: The 5-year survival rate was 73.5% (50/68). The decannulation rate was 91.2% (62/68). sixty-three patients had satisfactory phonation (92.6%). All patients resumed mouth-food-taking within 7 to 20 days after operation. CONCLUSION: The unilateral bi-pedicled and bi-muscular flaps are appropriate for reconstruction of surgical defect in T3 glottic cancer.