[Retrospective analysis of supracricoid partial laryngectomy with epiglottis preserved and reconstruction of laryngeal function]

Abstract

Objective: To retrospectively evaluate the curative and functional consequences of supracricoid partial laryngectomy with epiglottis preserved.

Methods: From 1980 to 1996, 78 patients underwent supracricoid partial laryngectomy with the epiglottis preserved. The survival rate and the functional results were analyzed.

Results: Overall three-year survival rate was 87.2%(68/78), overall five-year survival rate was 75.6% (59/78), and ten-year survival rate was 21.1% (8/38). All patients resumed normal oral feeding. 97.4% (76/78) achieved tracheal extubation. Respiratory and speaking functions were good.

Conclusion: Supracricoid partial laryngectomy with epiglottis preserved and reconstruction of laryngeal function not only improved local cancer control, but also preserves laryngeal physiologic function.