Surgical Treatment of Laryngeal Cancer(Report of 129 Cases)

Objective To improve life quality and survival rate for patients of laryngeal carcinoma after operation. Methods 129 cases with laryngeal cancer from 1985 to 1996 were summarized. According to UICC in 1992, 23 cases were supraglottic carcinoma(T\-1 3 cases, T\-2 13 cases, T\-3 2 cases, T\-4 5 cases), 96 cases glottic carcinoma(T\-1 40 cases, T\-2 11 cases, T\-3 5 cases, T\-4 40 cases), 5 cases infraglottic carcinoma(T\-4 5 cases), and 5 cases transglottic carcinoma(T\-2 4 cases, T\-3 1 case). In common 6 kinds of operations were performed: total laryngectomy 50 cases, among them 10 cases underwent concurrent neck dissection(8 unilateral, 2 bilateral), horizontal vertical(3/4) laryngectomy 10 cases(3 unilateral concurrent neck dissection), supraglottic laryngectomy 8 cases, frontolateral laryngectomy 3 cases, vertical laryngectomy 50 cases, and cordectomy 8 cases. Results All cases of partial laryngectomy restored their phonation and overcame aspiration when removing nasal feeding tube 2~3 weeks after operation, in which 67 cases were decannulated 1~3 months after operation. 12 cases could not be decannulated. The three and five survival rates were 80.3%, 70.8%, in partial laryngectomy. The 3\|year and 5\|year survival rate were 86.0%, 72.0%, in total laryngectomy. Conclusion Partial laryngectomy is a kind of selected radical operation with reservation of laryngeal function.\;