Surgical management of glottic carcinoma involved anterior commissure

OBJECTIVE To explore the surgical methods for management of glottic carcinoma involved anterior commissure(T1～T3).METHODS The clinical data of 37 cases with glottic carcinoma involved anterior commissure(T1～T3)were retrospectively studied.The prelaryngeal lymph nodes were dissected and the lesions were removed through combined supraglottis and inferior glottis approach.There were 20 cases with T1 stage,7 cases with T2 stage and 10 cases with T3 stage.The survival rate of the patients was calculated with Kaplan-Meier method.RESULTS All the cases were decannulated and recovered the function of deglutition within 3 months after operation.The complications of the operation were anterior commissure adherence in one case,laryngeal stenosis in 2 cases and laryngeal fistula in 2 cases.The 3 and 5 year survival rates were 100.0% and 86.7% respectively.CONCLUSION In the cases of glottic carcinoma involved anterior commissure,the prelaryngeal lymph nodes dissection should be emphasized,also the combined supraglottis and inferior glottis approach to remove the tumor is an effective method.