2012•PubMedRequires access
[Application of epiglottis with sternohyoid muscle in the surgery for laryngeal cancer].
Tai-zhong Pang, Yungang Wu, Xiaoyu Li, Fu-ping Gao, Yu-cai Sun, Shan Li, Dengdian Ma
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Abstract
OBJECTIVE: To explore and evaluate the application of epiglottis with sternohyoid muscle in the surgery for laryngeal cancer. METHODS: Two fifty patients with laryngeal cancer were treated by partial laryngectomy and the laryngeal defects were reconstructed by epiglottic flap and sternohyoid muscle fascia flap. The staging of tumors: T2N0M0 23 cases, T3N1M0 14 cases, T3N2M0 13 cases. All of them received post radical radiotherapy with average 60 Gy. The patients were followed up for 3 to 5 years. Thirty patients underwent neck dissection. RESULTS: The three and five years survival rates were 90% and 80% respectively. The total cases eat breath pronounced well. The decannulation rate was 96%. CONCLUSION: After partial laryngectomy in laryngeal cancer epiglottic flap and sternohyoid muscle fascia flap were performed reconstruction of laryngeal function.