[Supracricoid subtotal laryngectomy for the treatment of advanced XXXX ].

@entity1 @entity850 @entity5 @entity189 @entity1174 @entity3746 @entity1173
OBJECTIVE: This procedure was designed to eradicate the advanced @entity189 while preserving the laryngeal physiologic function. The indications and contraindications for the operation were also discussed and evaluated in this paper. METHODS: Twenty-one @entity1 with advanced @entity5 underwent this procedure during the period from 1988 through 1996 in our department. All of the @entity1 were not amenable to conventional partial horizontal and vertical laryngectomies. In those @entity1 , there were 9 supraglottic cancers, 10 @entity5 . Among them, 16 cases had stage T2 lesions and 5 cases had stage T3 lesions. In this procedure, the hyoid and thyroid cartilages were excised in toto, along with both @entity3746 , paraglottic space as well as the partial or total epiglottis and the whole preepiglottic space. The cricoid cartilage and at least one arytenoid cartilage were spared. The new larynx was reconstructed by suturing the cricoid and/or epiglottis to the base of the tongue. RESULTS: Of 21 @entity1 , 95% were able to eat normally without @entity1173 , 90% were decannulated with near normal speech function. In two @entity1 , the tracheotomy tube was reserved, one developed a @entity850 , and another had recurrent @entity1174 . No @entity1 experienced local recurrence. Nineteen @entity1 were followed up for at least 3 years, 13 @entity1 achieved 5 years @entity5 -free survival. CONCLUSION: The term supracricoid subtotal laryngectomy best describes the surgical approach and the reconstruction model of the new larynx. As a useful alternative to total laryngectomy in selected advanced @entity5 , this procedure may greatly improve the quality of life and prolong the life without recurrence.
