JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2010, Vol. 24 ›› Issue (4): 13-15.

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Supraglottic horizontal laryngectomy via supra-anterior commissure approach

 LI Qing-feng, ZHANG Zhong-xiang, ZHANG Guo-kui, LI Qiang   

  1. Department of Head and Neck, Linzhou Tumour Hospital, Linzhou 456550, Henan, China
  • Received:2010-02-08 Revised:2010-05-08 Online:2010-08-16 Published:2010-08-16

Abstract:

Objective     To evaluate the indications for supraglottic horizontal laryngectomy via supra-anterior commissure approach. Methods    Eight patients with large, exophytic supraglottic squamous cell carcinomas were selected and treated with supraglottic horizontal laryngectomy via supra-anterior commissure approach. Clinical stages of these patients were T2~3N0~2c without vocal cord involvment and postcricoid invasion. Results    All patients were operated successfully and adequate surgical margins were achieved. Satisfying laryngeal function was reserved and no pharyngeal fistula occurred  in all patients. The duration for oral intake ranged from 8 to 26 days. Five patients were alive in the 2 year follow-up. Conclusion    For large, exophytic supraglottic laryngeal cancer, without ventricle and vocal cord invasion, supra-anterior commissure approach is a good method and the principles of tumor resection can be observed.

Key words: Laryngeal cancer;  Laryngectomy; Carcinoma, clinical practice

CLC Number: 

  • R739.65
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