[Application of partial laryngectomy in laryngeal cancer treatment and reconstruction with epiglottic flap and bi-pedicle muscle flap].

OBJECTIVE

To explore and evaluate the surgical method of partial laryngectomy and the laryngeal defects were reconstructed.

METHOD

Two hundreds and sixty-five patients with laryngeal cancer were treated by partial laryngectomy and the laryngeal defects were reconstructed by epiglottic flap, bi-pedicle sternohyoid muscle fascia flap and epiglottic flap plus bi-pedicle sternohyoid muscle fascia flap from January 1990 to December 2000. There were 256 males and 9 females,ranging in age from 48 to 75 years old. Neck dissection were performed in 79 patients.

RESULT

The total cases began to eat between 10 to 15 days after operation. Two hundreds and eighteen cases were decannulated with a decannulation rate of 82.26%. Wound infection occurred in 12 cases and 2 pharyngocutaneous fistula was found. The three and five years survival rates were 74.72% and 70. 88% respectively.

CONCLUSION

After partial laryngectomy in laryngeal cancer epiglottic flap and bi-pedicle muscle fascia flap were performed reconstruction of laryngeal function in a single-stage. These procedures which were relative simplicity, expediency, small injury and high rate of survival present ideal effects and are worthy to be recommended.